15-12B 1 brhc10030159_1512b.htm 15-12B

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

FORM 15

CERTIFICATION AND NOTICE OF TERMINATION OF REGISTRATION UNDER SECTION 12(g) OF THE SECURITIES EXCHANGE ACT OF 1934 OR SUSPENSION OF DUTY TO FILE REPORTS UNDER SECTIONS 13 AND 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934.

Commission File Number: 001-35506

Select Interior Concepts, Inc.

(Exact name of registrant as specified in its charter)

400 Galleria Parkway, Suite 1760

Atlanta, Georgia 30339

(888) 701-4737

(Address, including zip code, and telephone number, including area code, of registrant’s principal executive offices)

Common Stock, $0.001 Par Value

(Title of class of securities covered by this Form)

None

(Titles of all other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains)

Please place an X in the box(es) to designate the appropriate rule provision(s) relied upon to terminate or suspend the duty to file reports:

	Rule 12g-4(a)(1)	☒
	Rule 12g-4(a)(2)	☐
	Rule 12h-3(b)(1)(i)	☒
	Rule 12h-3(b)(1)(ii)	☐
	Rule 15d-6	☐
	Rule 15d-22(b)	☐

Approximate number of holders of record as of the certification or notice date: One (1)

Pursuant to the requirements of the Securities Exchange Act of 1934, Select Interior Concepts, Inc. has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person.

	Select Interior Concepts, Inc.

Date: November 1, 2021	By:	/s/ Patrick Dussinger
	Name:	Patrick Dussinger
	Title:	Chief Executive Officer

SEC Form 15-12B filed by Select Interior Concepts, Inc.