kcli-form1512g_jan72016.htm
 
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 001-33348

Kansas City Life Insurance Company
(Exact name of registrant as specified in its charter)

3520 Broadway, Kansas City, Missouri 64111; (816) 753-7000
(Address, including zip code, and telephone number, including area code, of registrant’s principal executive offices)

Common Stock, $1.25 par value
(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)
[X]
 
Rule 12g-4(a)(2)
[   ]
 
Rule 12h-3(b)(1)(i)
[X]
 
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:  210

 
 

 


Pursuant to the requirements of the Securities Exchange Act of 1934, Kansas City Life Insurance Company has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person.


     
     
Date:  January 7, 2016
By:
/s/ Craig Mason
   
Senior Vice President, General Counsel  and Secretary