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SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
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FORM 10-C
REPORT BY ISSUER OF SECURITIES QUOTED ON NASDAQ INTER-DEALER QUOTATION
SYSTEM FILED PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT
OF 1934 AND RULES 13a-17 AND 15d-17 THEREUNDER
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NATIONAL SURGERY CENTERS, INC.
(Exact name of Issuer as specified in its charter)
35 EAST WACKER DRIVE, SUITE 2800, CHICAGO, ILLINOIS 60601
(Address of Principal Executive Offices)
ISSUER'S TELEPHONE NUMBER, INCLUDING AREA CODE: (312) 553-4200
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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, par value $.01 per share.
2. Number of shares outstanding before the change: 4,974,921.
3. Number of shares outstanding after the change: 7,462,382.
4. Effective date of change: May 15, 1996.
5. Method of change: 3-for-2 stock dividend.
Give brief description of transaction: On April 19, 1996, the Board of
Directors of National Surgery Centers, Inc. (the "Company") declared a 3-for-2
stock dividend on the Company's Common Stock, par value $.01 per share, such
stock dividend to be effective on May 15, 1996.
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: May 23, 1996 /s/ Bryan S. Fisher
_______________________________
Bryan S. Fisher, Vice President
and Chief Financial Officer
