Form 15-12G

15-12G 1 d403458d1512g.htm FORM 15-12G Form 15-12G

As filed with the Securities and Exchange Commission on October 13, 2022

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 ACT OF 1934.

Commission File Number: 001-38961

Change Healthcare Inc.

(Exact name of registrant as specified in its charter)

424 Church Street, Suite 1400

Nashville, Tennessee 37219

(615) 932-3000

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

Common Stock, par value $0.001 per share

(Title of each 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: 1

SIGNATURES

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

Date: October 13, 2022


CHANGE HEALTHCARE INC.

By:		/s/ Neil de Crescenzo
		Name: Neil de Crescenzo
		Title: Chief Executive Officer and President of Change Healthcare Inc.

SEC Form 15-12G filed by Change Healthcare Inc.