15-12G 1 f1512g_040104-mining.txt HOMESTAKE MINING COMPANY SAVINGS PLAN OMB APPROVAL OMB Number: 3235-0167 Expires: October 31, 2004 Estimated average burden hours per response.........1.50 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 001-09059 -------------- Homestake Mining Company Savings Plan* -------------------------------------------------------------------------------- (Exact name of registrant as specified in its charter) Barrick Gold Corporation BCE Place, TD Canada Trust Tower, ---------------------------------------------------------- Suite 3700, 161 Bay Street, Toronto, Canada M5J 2S1 --------------------------------------------------- (Address, including zip code, and telephone number, including area code, of registrant's principal executive offices) Plan Interests in the Homestake Mining Company 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: Rule 12g-4(a)(1)(i) [ ] Rule 12h-3(b)(1)(i) [X] Rule 12g-4(a)(1)(ii) [ ] Rule 12h-3(b)(1)(ii) [ ] Rule 12g-4(a)(2)(i) [ ] Rule 12h-3(b)(2)(i) [ ] Rule 12g-4(a)(2)(ii) [ ] Rule 12h-3(b)(2)(ii) [ ] Rule 15d-6 [X] Approximate number of holders of record as of the certification or notice date: 0 * Effective the final payroll date in December, 2002, the Homestake Mining Company Savings Plan was merged into the Barrick Goldstrike Mines, Inc. Savings Plan. Pursuant to the requirements of the Securities Exchange Act of 1934, the Homestake Mining Company Savings Plan has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person. Date: March 31, 2004 By: Barrick Goldstrike Mines, Inc. Savings Plan, successor by plan merger to the Homestake Mining Company Savings Plan. By: /s/ Marsha Turner ------------------------------------- Name: Marsha Turner Title: Secretary, Barrick U.S. Subsidiaries Benefits Committee 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 0MB SEC 2069 (01-02) control number.