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: 001-11239
HCA Inc.
(Exact name of registrant as specified in its charter)
One Park Plaza, Nashville, Tennessee 37203, (615) 344-9551
(Address, including zip code, and telephone number, including area code, of registrants principal executive offices)
Common stock, par value $.01 per share, and nonvoting common stock, par value $.01 per share
(Title of each class of securities covered by this Form)
Common stock, par value $.01 per share
(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 provisions(s) relied
upon to terminate or suspend the duty to file reports:
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Rule 12g-4(a)(1)(i)
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Rule 12h-3(b)(1)(i)
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Rule 12g-4(a)(1)(ii)
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Rule 12h-3(b)(1)(ii)
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Rule 12g-4(a)(2)(i)
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Rule 12h-3(b)(2)(i)
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Rule 12g-4(a)(2)(ii)
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Rule 12h-3(b)(2)(ii)
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Rule 15d-6
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Approximate number of holders of record as of the certification or notice date: One
Pursuant to the requirements of the Securities Exchange Act of 1934, HCA Inc. has
caused this certification/notice to be signed and filed on its behalf by the undersigned duly
authorized person.
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Date: November 17, 2006 |
By: |
/s/ John M. Franck II
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Name: |
John M. Franck |
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Title: |
Vice President and Corporate Secretary |
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Instruction: This form is required by Rules 12g-4, 12h-3 and 15d-6 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.