UNITED STATES
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
MAXICARE HEALTH PLANS, INC.
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(Exact name of issuer as specified in charter)
1149 South Broadway Street, Los Angeles, CA 90015
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(Address of principal executive offices)
Issuer's telephone number, including area code (213) 765-2000
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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
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2. Number of shares outstanding before the change 11,506,756
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3. Number of shares outstanding after the change 17,295,253
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4. Effective date of change March 9, 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.) Conversion and options exercised
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Give brief description of transaction 2,269,000 shares of
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Series A Cumulative Convertible Preferred Stock were converted
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into 6,250,641 shares of Common Stock and options to purchase
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16,666 shares were exercised.
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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 13, 1995 /s/ EUGENE L. FROELICH
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Eugene L. Froelich
Chief Financial Officer and
Executive Vice President -
Finance and Administration
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