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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
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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
JACO ELECTRONICS, INC.
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(Exact name of issuer as specified in charter)
145 Oser Avenue, Hauppauge, New York 11788
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(Address of principal executive offices)
Issuer's telephone number, including area code (516) 273-5500
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I. CHANGE IN NUMBER OF SHARES OUTSTANDING
Indicate any change (increase or decrease) of 5% or more in the number of shares
outstanding:
1. Title of security Common Stock, par value $0.10 per share
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2. Number of shares outstanding before the change 1,680,309
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3. Number of shares outstanding after the change 1,848,288
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4. Effective date of change March 10, 1995
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5. Method of change:
Specify method (such as merger, acquisition, exchange, distribution, stock
split, reverse split, acquisition of stock for treasury, etc.)
stock dividend
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Give brief description of transaction
On February 3, 1995, Jaco Electronics, Inc. announced a ten percent stock
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dividend payable on March 10, 1995 to shareholders of record at the close
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of business on February 16, 1995.
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II. CHANGE IN NAME OF ISSUER
1. Name prior to change
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2. Name after change
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3. Effective date of charter amendment changing name
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4. Date of shareholder approval of change, if required
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Date March 17, 1995 /s/ Jeffrey D. Gash
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(Officer's signature & title)
Jeffrey D. Gash,
Vice President - Finance
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INSTRUCTIONS
A. Form 10-C shall be used for reports under Section 13, or 15(d) of the
Securities Exchange Act of 1934 filed pursuant to Rule 13a-17, or 15d-17,
thereunder.
B. Four copies of each report on this form shall be filed with the Securities
and Exchange Commission at 450 5th Street, N.W., Washington, D.C. 20549.
In addition, a copy shall be furnished to the National Association of
Securities Dealers, Inc. (NASD), Department F-10-S, 17 Battery Place, New
York, New York, 10004. At least one of the copies filed shall be manually
signed by an officer of the issuer. Unsigned copies shall be conformed.
C. Each report shall be filed by an issuer upon being notified that any class
of its securities is to be quoted on the NASDAQ interdealer quotations
system not later than ten days after the first date on which any aggregate
increase or decrease in the amount of securities of such class outstanding
exceeds five percent of the amount of the class outstanding as last
reported. A report shall also be required from any issuer quoted on the
system of any corporate name change not later than 10 days after the
change.
D. The General Rules and Regulations under the Act contain certain general
requirements applicable to reports on any form. These general requirements
should be carefully read and observed in the preparation and filing of
reports on this form.
E. The Commission does not furnish blank forms for its filing requirements.
However, copies of this form may be duplicated in reporting the requested
information.
F. Nothing required by this form shall be construed, however, to relieve any
issuer of any obligations to file any other report required under this Act
or rules promulgated thereunder with respect to the changes set forth in
instruction C above.
