<PAGE>
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 10-QSB/A
(Mark One)
( X ) QUARTERLY REPORT UNDER SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE
ACT OF 1934
For the quarterly period ended: June 30, 1996
------------------------------
( ) TRANSITION REPORT UNDER SECTION 13 OR 15(D) OF THE EXCHANGE ACT
For the transition period from: to
Commission file number: 0-13265
UCI MEDICAL AFFILIATES, INC.
(Exact name of small business issuer as specified in its charter)
Delaware 59-2225346
(State or other jurisdiction of incorporation (IRS Employer
or organization) Identification No.)
1901 Main Street, Suite 1200, Mail Code 1105, Columbia, SC 29201
(Address of principal executive offices)
(803) 252-3661
(Issuer's telephone number)
(Former name, address or fiscal year, if changed since last report)
Check whether the issuer (1) filed all reports required to be filed by Section
13 or 15(d) of the Exchange Act during the past 12 months (or for such shorter
period that the registrant was required to file such reports), and (2) has been
subject to such filing requirements for the past 90 days. ( X )YES ( ) NO
APPLICABLE ONLY TO ISSUERS INVOLVED IN BANKRUPTCY
PROCEEDINGS DURING THE PRECEDING FIVE YEARS
Check whether the registrant filed all documents and reports required to be
filed by Section 12, 13, or 15(d) of the Exchange Act after the distribution of
securities under a plan confirmed by a court. ( )YES ( ) NO
APPLICABLE ONLY TO CORPORATE ISSUERS
State the number of shares outstanding of each of the issuer's classes of common
equity, as of the latest practicable date:
4,807,507 shares of $.05 common stock outstanding at June 30, 1996
Transitional Small Business Disclosure Format (check one): ( )YES ( X ) NO
1
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PART I
FINANCIAL INFORMATION
Part I, Financial Information, is not applicable to the Form 10-QSB/A filing.
2
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PART II
OTHER INFORMATION
Item 5 OTHER INFORMATION
Form 10-QSB/A is being filed to correct the previously filed Form 10-QSB which
was electronically filed on August 2, 1996. The correction is as follows:
Exhibit 27:
The income and expense numbers depicted in the previously filed Exhibit 27 were
stated for the three months ended June 30, 1996. They should have been stated
for the nine months ended June 30, 1996. Therefore, we are resubmitting Exhibit
27 in its entirety.
3
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SIGNATURE
Pursuant to the requirements of the Securities Exchange Act of 1934, the
registrant has duly caused this report to be signed on its behalf by the
undersigned hereunto duly authorized.
UCI Medical Affiliates, Inc.
(Registrant)
/S/ M.F. MCFARLAND, III, M.D. /S/ JERRY F. WELLS, JR.
Marion F. McFarland, III, M.D. Jerry F. Wells, Jr.
President, Chief Executive Officer, Vice President of Finance and
and Chairman of the Board Chief Financial Officer
Date: December 18, 1996
4
<TABLE> <S> <C>
<ARTICLE> 5
<LEGEND>
FINANCIAL DATA SCHEDULE FOR FORM 10-QSB FOR NINE MONTH PERIOD
ENDED JUNE 30, 1996
</LEGEND>
<S> <C>
<PERIOD-TYPE> 9-MOS
<FISCAL-YEAR-END> SEP-30-1996
<PERIOD-END> JUN-30-1996
<CASH> 0
<SECURITIES> 0
<RECEIVABLES> 4,639,337
<ALLOWANCES> 919,625
<INVENTORY> 267,356
<CURRENT-ASSETS> 4,681,270
<PP&E> 4,869,586
<DEPRECIATION> 1,868,034
<TOTAL-ASSETS> 14,341,794
<CURRENT-LIABILITIES> 3,626,673
<BONDS> 4,630,690
0
0
<COMMON> 240,375
<OTHER-SE> 7,564,358
<TOTAL-LIABILITY-AND-EQUITY> 14,341,794
<SALES> 0
<TOTAL-REVENUES> 17,003,582
<CGS> 0
<TOTAL-COSTS> 15,031,039
<OTHER-EXPENSES> 778,183
<LOSS-PROVISION> 482,068
<INTEREST-EXPENSE> 427,327
<INCOME-PRETAX> 287,070
<INCOME-TAX> 161,594
<INCOME-CONTINUING> 448,664
<DISCONTINUED> 0
<EXTRAORDINARY> 0
<CHANGES> 0
<NET-INCOME> 448,664
<EPS-PRIMARY> .11
<EPS-DILUTED> .11
</TABLE>
