FORM 15
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
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 0-33413
Clover Leaf Financial Corp.
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(Exact name of registrant as specified in its charter)
200 East Park Street, Edwardsville, Illinois 62025
(618) 656-6122
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(Address, including zip code, and telephone number, including area
code, of registrant's principal executive offices)
Common Stock
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(Title of each class of securities covered by this Form)
n/a
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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)(i) [x] Rule 12h-3(b)(1)(ii) [ ]
Rule 12g-4(a)(1)(ii) [ ] Rule 12h-3(b)(2)(i) [ ]
Rule 12g-4(a)(2)(i) [ ] Rule 12h-3(b)(2)(ii) [ ]
Rule 12g-4(a)(2)(ii) [ ] Rule 15d-6 [ ]
Rule 12h-3(b)(1)(i) [ ]
Approximate number of holders of record as of the certification or
notice date: 164
Pursuant to the requirements of the Securities Exchange Act of 1934,
Clover Leaf Financial Corp. has caused this certification/notice to be signed on
its behalf by the undersigned duly authorized person.
Date: December 28, 2004 By: /s/ Dennis M. Terry
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Dennis M. Terry, President and Chief
Executive Officer