SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 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
PEN INTERCONNECT, INC.
(Exact name of issuer as specified in charter)
2351 South 2300 West, Salt Lake City, Utah 84119
(Address of principal executive offices)
Issuer's telephone number, including area code (801) 973-6090
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. 2,700,000
3. Number of shares outstanding after the change. 3,033,407
4. Effective date of change. May 1, 1996
5. Method of change: Specify method (such as merger, acquisition, exchange,
distribution, stock split, reverse split, acquisition
of stock for treasury, etc.)
Acquisition
Give brief description of transaction. Acquisition of assets comprising the
InCirt Technology Division of The Cerplex Group, Inc. in exchange for
$3,500,000 cash and 333,407 common shares of the issuer.
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
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(Officer's signature and title)
