Form 15-12G BLOOMIOS, INC.

 

 

	UNITED STATES	OMB APPROVAL
	SECURITIES AND EXCHANGE COMMISSION	OMB Number:	3235-0167
	Washington, D.C. 20549	Expires:	July 31, 2024
	FORM 15	Estimated average burden hours per response	1.50

 

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 000-50026

 

Bloomios Inc.

(Exact name of registrant as specified in its charter)

 

701 Anacapa Street, Suite C, Santa Barbara, CA 93101

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

 

Common Stock

(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: 212

 

Pursuant to the requirements of the Securities Exchange Act of 1934 (Name of registrant as specified in charter) has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person.

 

Date: March 29, 2024	By:	/s/ Barrett Evans
		Barrett Evans
		President

 

SEC 2069 (08-11)

Potential persons who are to respond to the collection of information contained in this Form are not required to respond unless the Form displays a currently valid OMB control number.

 

Instruction: This form is required by Rules 12g-4, 12h-3, 15d-6 and 15d-22 of the General Rules and Regulations under the Securities Exchange Act of 1934. The registrant shall file with the Commission three copies of Form 15, one of which shall be manually signed. It may be signed by an officer of the registrant, by counsel or by any other duly authorized person. The name and title of the person signing the form shall be typed or printed under the signature.