-----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, Do46JyC/3bzeagWOMxD7HNI/cQHMtDXWgBuyIUndx6ENBpBhaV5HkW8oXssMmp5p 9zVgiVrHRZsaaHYswJctXQ== 0000912057-96-030428.txt : 19961231 0000912057-96-030428.hdr.sgml : 19961231 ACCESSION NUMBER: 0000912057-96-030428 CONFORMED SUBMISSION TYPE: 10-C PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19961226 FILED AS OF DATE: 19961230 SROS: NASD FILER: COMPANY DATA: COMPANY CONFORMED NAME: COMMUNITY FIRST BANKSHARES INC CENTRAL INDEX KEY: 0000857593 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 460391436 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 10-C SEC ACT: 1934 Act SEC FILE NUMBER: 000-19368 FILM NUMBER: 96687555 BUSINESS ADDRESS: STREET 1: 520 MAIN AVENUE CITY: FARGO STATE: ND ZIP: 58124-0001 BUSINESS PHONE: 7012985600 MAIL ADDRESS: STREET 1: 520 MAIN AVENUE CITY: FARGO STATE: ND ZIP: 58124-0001 10-C 1 FORM 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 AND 15d-17 THEREUNDER Community First Bankshares, Inc. ---------------------------------------------- (Exact name of issuer as specified in charter) 520 Main Avenue, Fargo, ND 58124-0001 ---------------------------------------- (Address of principal executive offices) (701) 298-5600 -------------- (Issuer's telephone number, including area code) 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: 12,026,012 -------------------------- 3. Number of shares outstanding after the change: 17,198,115 --------------------------- 4. Effective date of change: December 18, 1996 ------------------------------------------------ 5. Method of change: Specify method (such as merger, acquisition, exchange, distribution, stock split, reverse split, acquisition of stock for treasury, etc.): Merger --------------- Give brief description of transaction: The Company acquired Mountain Parks Financial Corp. and issued 5,170,828 shares of its common stock. - ------------------------------------------------------------------------------- II.CHANGE IN NAME OF ISSUER 1. Name prior to change: ----------------------------------------------------- 2. Name after change: -------------------------------------------------------- 3. Effective date of charter amendment changing name: ------------------------ 4. Date of shareholder approval of change, if required: ---------------------- Date: 12/26/96 /s/ Mark A. Anderson -------------------- ------------------------------------------- Mark A. Anderson, Executive Vice President and Chief Financial Officer (Officer's signature & title) -----END PRIVACY-ENHANCED MESSAGE-----