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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 AND EXCHANGE ACT OF 1934 AND RULE 13a-17
OR 15d-17 THEREUNDER
NAI TECHNOLOGIES, INC.
(EXACT NAME OF ISSUER AS SPECIFIED IN CHARTER)
2405 TRADE CENTRE AVENUE, LONGMONT, COLORADO 80503
(ADDRESS OF PRINCIPAL EXECUTIVE OFFICE)
Issuer's telephone number, including area code (303) 776-5674
I. CHANGE IN NUMBER OF SHARES OUTSTANDING
Indicate any change (increase or decrease) of 5% or more in the number of
shares outstanding:
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1. Title of security Common Stock, par value $0.10 per share
2. Number of shares outstanding before the change 7,459,437
3. Number of shares outstanding after the change 8,459,437
4. Effective date of change May 9, 1996
5. Method of change: Issuance of 1,000,000 shares of Common Stock from the
conversion of a 12% convertible subordinated promissory note in the aggregate
principal amount of $2,000,000.
Specify method (such as merger, acquisition, exchange, distribution, stock
split, reverse split, acquisition of stock for treasury, etc.)
Give brief discription of transaction: Issuance of 1,000,000 shares of Common
Stock from the conversion of a 12% convertible subordinated promissory note.
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_______________________
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Date May 22, 1996 NAI TECHNOLOGIES, INC.
/s/ RICHARD A. SCHNEIDER
By: .................................
Richard A. Schneider
Executive Vice President
