SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-C
Report by Issuer of Securities Quoted on the 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.
CPAC, Inc.
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(Exact Name of Issuer as Described in Charter)
2364 Leicester Road, Leicester, New York 14481
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(Address of Principal Executive Offices)
(716) 382-3223
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(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 $.01 Par Value Common Stock
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2. Number of Shares outstanding before the Change 5,865,489
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3. Number of Shares outstanding after the Change 7,331,699
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4. Effective date of Change May 15, 1996
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5. Method of Change Additional Shares Issued
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Give brief description of transaction Five for four stock split
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declared on April 17, 1996, for holders of record as of May 3, 1996,
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to be distributed May 15, 1996, of CPAC, Inc.$.01 par common stock.
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II. Change in Name of Issuer
1. Name prior to change N/A
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2. Name after change N/A
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3. Effective date of charter amendment changing name N/A
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4. Date of shareholder approval of change, if required N/A
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May 13, 1996 /s/ Thomas J. Weldgen
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(Date) Thomas J. Weldgen
Chief Financial Officer
