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: 1-368-2
CHEVRON PUERTO RICO LLC
RETIREMENT SAVINGS PLAN
(Exact Name of Registrant as Specified in its Charter)
6001 Bollinger Canyon Road, San Ramon, CA 94583-2324
(925) 842-1000
(Address, including zip code, and telephone number, including area code, of registrants principal executive offices)
Interests in Chevron Puerto Rico LLC Retirement Savings Plan
(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:
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Rule 12g-4(a)(1)
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o |
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Rule 12g-4(a)(2)
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o |
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Rule 12h-3(b)(1)(i)
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o |
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Rule 12h-3(b)(1)(ii)
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o |
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Rule 15d-6
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Approximate number of holders of record as of the certification or notice date: 106
Pursuant to the requirements of the Securities Exchange Act of 1934 Chevron Puerto Rico LLC
Retirement Savings Plan has caused this certification/notice to be signed on its behalf by the
undersigned duly authorized person.
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Date: January 23, 2009
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By:
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/s/ Thomas Y. Toy
Thomas Y. Toy
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Manager, Benefit Plan Investments |
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Reporting and Control |
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Chevron Corporation |
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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.
Persons who 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.