-----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, Ut5YyJbUxgxKiQ3/HKBvadionW/RX/XL16ILw7cZNLX8GFCsGUWxV0woqwYLTBn+ dx8mEh+aglxbcINNS/qwEQ== 0000877937-97-000020.txt : 19970618 0000877937-97-000020.hdr.sgml : 19970618 ACCESSION NUMBER: 0000877937-97-000020 CONFORMED SUBMISSION TYPE: 10-C PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19970610 FILED AS OF DATE: 19970617 SROS: NONE FILER: COMPANY DATA: COMPANY CONFORMED NAME: XEROGRAPHIC LASER IMAGES CORP /DE/ CENTRAL INDEX KEY: 0000877937 STANDARD INDUSTRIAL CLASSIFICATION: COMPUTER PERIPHERAL EQUIPMENT, NEC [3577] IRS NUMBER: 510319174 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 10-C SEC ACT: 1934 Act SEC FILE NUMBER: 001-11236 FILM NUMBER: 97625202 BUSINESS ADDRESS: STREET 1: 101 BILLERICA AVENUE STREET 2: 5 BILERICA PARK CITY: NORTH BILLERICA STATE: MA ZIP: 01801 BUSINESS PHONE: 5086705999 MAIL ADDRESS: STREET 1: 101 BILLERICA AVENUE STREET 2: 5 BILLERICA PARK CITY: NORTH BILLERICA STATE: MA ZIP: 01801 10-C 1 SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D. C. 20549 FORM 10-C REPORT BY ISSUER OF SECURITIES QUOTED ON NASDA 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 Xerographic Laser Images Corporation - ------------------------------------------------------------------------------ (Exact name of issuer as specified in charter) 101 Billerica Avenue, 5 Billerica Park, North Billerica, MA 01862 - ------------------------------------------------------------------------------- (Address of principal executive offices) Issuer's telephone number, including area code 508-670-5999 --------------------------------- 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 ---------------------------------------------------------- 2. Number of shares outstanding before the change 1,778,647 ----------------------------- 3. Number of shares outstanding after the change 2,039,311 ------------------------------ 4. Effective date of change June 10, 1997 --------------------------------------------------- 5. Method of change: Specify method (such as merger, acquisition, exchange, distribution, stock split, reverse split, acquisition of stock for treasury, etc.) Exchange ------------------------------------------------------------ Give brief description of transaction Vested Options Exchanged for 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 June 17, 1997 /s/James L. Salerno, Chief Financial Officer --------------------- -------------------------------------------- (Officer's signature and title) -----END PRIVACY-ENHANCED MESSAGE-----