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
DIXIE NATIONAL CORPORATION
(Exact name of issuer as specified in charter)
P.O. Box 22587, Jackson, Ms 39225-2587
(Address of principal executive offices)
Issuer's telephone number, including area code: (601) 982-8210
I. CHANGE IN NUMBER OF SHARES OUTSTANDING
Indicate any change (increase or decrease) or 5% or more in the number of shares
outstanding:
1. Title of security Common Stock
2. Number of shares outstanding before the change 8,394,973
3. Number of shares outstanding after the change 10,494,973
4. Effective date of change June 29, 1995
5. Method and brief description of change:
Dixie National Corporation issued 2,000,000 shares of its Common Stock to
acquire a 16% interest in Phoenix Medical Management, Inc. (PMM), a closely held
health care company located in Phoenix, Arizona and 100,000 shares for an option
to acquire the remaining 84% of PMM.
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 30, 1995 /s/ Robert B. Neal
(Officer's signature & title)
Robert B. Neal, President
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