SEC Form 15-12G filed by Convey Health Solutions Holdings Inc.

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: 001-40506

CONVEY HEALTH SOLUTIONS HOLDINGS, INC.

(Exact name of registrant as specified in its charter)

100 SE 3rd Avenue, 26th Floor  

Fort Lauderdale, FL 33394

(800) 559-9358

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

Common Stock, par value $0.01 per share

(Title of each class of securities covered by this Form)

N/A

(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:

Approximate number of holders of record as of the certification or notice date: Thirteen

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