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: 001-39449
DUCK CREEK TECHNOLOGIES, INC.
(Exact name of registrant as specified in its charter)
22 Boston Wharf Road, Floor 10
Boston, MA 02210
Telephone: (888) 724-3509
(Address, including zip code, and telephone number, including area code, of registrant’s principal executive offices)
Common stock, $0.01 par value per share
(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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☒
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Rule 12g-4(a)(2)
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☐
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Rule 12h-3(b)(1)(i)
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☒
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Rule 12h-3(b)(1)(ii)
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☐
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Rule 15d-6
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☐
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Rule 15d-22(b)
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☐
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Approximate number of holders of record as of the certification or notice date: One (1) holder
Pursuant to the requirements of the Securities Exchange Act of 1934, Duck Creek Technologies, Inc. has caused this certification/notice to be signed on its
behalf by the undersigned duly authorized person.
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Duck Creek Technologies, Inc.
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Date: April 10, 2023
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By:
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Name:
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Kevin R. Rhodes
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Title:
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Chief Financial Officer
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