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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
CHINA PACIFIC, INC.
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(Exact name of issuer as specified in charter)
Room 2008, Sun Hung Kai Centre, 30 Harbour Road, Wanchai, Hong Kong
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(Address of principal executive offices)
Issuer's telephone number, including area code (852) 2802 3068
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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, $.001 par value
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2. Number of shares outstanding before the change 17,662,831
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3. Number of shares outstanding after the change 34,899,499
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4. Effective date of change June 24, 1996
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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
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of preferred stock and payment of interest on convertible debt
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Give brief description of transaction Issuance of shares on conversion of
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preferred stock and in payment of interest accrued on convertible notes
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pursuant to offshore offering
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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 June 28, 1996 /s/ Clement Mak
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(Officer's signature & title)
President
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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, Washington, D.C. 20549. In
addition, a copy shall be furnished to the National Association of
Securities Dealers, Inc. (NASD), 33 Whitehall Street, N.Y., N.Y. 10004,
Uniform Practice Department. 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 lasted
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 obligation to file any other report required under this Act
or rules promulgated thereunder with respect to the changes set forth in
instruction C above.
c:/ms/form10c3(6/96)
chinapacific96
