-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, SFbYG+Vys1UJGg8PHSF0Mxc3v3tqEWMjP6KrCJiCKsMPv8Se5uZ5P2npWnItC6cl FlJ1Bwe/kIlrJT8ldTOWgw== 0000912057-95-009790.txt : 19951119 0000912057-95-009790.hdr.sgml : 19951119 ACCESSION NUMBER: 0000912057-95-009790 CONFORMED SUBMISSION TYPE: 10-C PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19951026 FILED AS OF DATE: 19951113 SROS: NASD FILER: COMPANY DATA: COMPANY CONFORMED NAME: STAFF BUILDERS INC /DE/ CENTRAL INDEX KEY: 0000720480 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOME HEALTH CARE SERVICES [8082] IRS NUMBER: 112650500 STATE OF INCORPORATION: DE FISCAL YEAR END: 0228 FILING VALUES: FORM TYPE: 10-C SEC ACT: 1934 Act SEC FILE NUMBER: 000-11380 FILM NUMBER: 95590839 BUSINESS ADDRESS: STREET 1: 1983 MARCUS AVE STREET 2: STE C115 CITY: LAKE SUCCESS STATE: NY ZIP: 11042 BUSINESS PHONE: 9082338899 MAIL ADDRESS: STREET 1: 425 NORTH AVE EAST STREET 2: STE C115 CITY: WESTFIELD STATE: NJ ZIP: 07090 FORMER COMPANY: FORMER CONFORMED NAME: TENDER LOVING CARE HEALTH CARE SERVICES INC DATE OF NAME CHANGE: 19880404 10-C 1 10-C SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 10-C REPORT BY ISSUER OF SECURITIES QUOTED ON NASDAQ INTERDEALER QUOTATION SYSTEM Filed pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 and Rule 13a-17 or 15d-17 thereunder Staff Builders, Inc. - -------------------------------------------------------------------------------- (Exact name of issuer as specified in charter) 1983 Marcus Avenue, Lake Success, New York 11042-7011 - -------------------------------------------------------------------------------- (Address of principal executive offices) Issuer's telephone number, including area code (516) 358-1000 I. CHANGE IN NUMBER OF SHARES OUTSTANDING Indicate any change (increase or decrease) of five percent or more in the number of shares outstanding: 1. Title of security Common Stock, $.01 par value per share 2. Number of shares outstanding before the change 23,666,387 3. Number of shares outstanding after the change 0 4. Effective date of change October 26, 1995 5. Method of change and brief description of transaction On October 26, 1995, Staff Builders, Inc. (the "Company") implemented a plan of recapitalization by which (i) the Company's Restated Certificate of Incorporation was amended to eliminate the Company's previously authorized single class of common stock (the "Common Stock") and to authorize for issuance 50,000,000 shares of Class A Common Stock, $.01 par value per share (the "Class A Common Stock"), and 1,450,000 shares of Class B Common Stock, $.01 par value per share (the "Class B Common Stock"), (ii) each share of Common Stock beneficially held by the same owner for more than four years as of both August 28, 1995 and October 26, 1995 was reclassified, changed and converted automatically into one share of Class B Common Stock, and (iii) each other share of Common Stock was reclassified, changed and converted automatically into one share of Class A Common Stock. Accordingly, there are no longer any shares of Common Stock of the Company outstanding. II. CHANGE IN NAME OF ISSUER Not applicable. Date: November 3, 1995 /s/ Gary Tighe ---------------------------- ---------------------------------------- Gary Tighe Senior Vice President, Finance and Chief Financial Officer -----END PRIVACY-ENHANCED MESSAGE-----