Form 10-C
Securities and Exchange Commission
Washington, DC 20549
Report by issuer of securities quoted on The Nasdaq Stock Market(SM),
filed pursuant to Section 13 or 15(d) of the Securities Exchange Act
of 1934 and Rule 13a-17 or 15d-17 thereunder.
Lifschultz Industries, Inc.
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EXACT NAME OF ISSUER AS SPECIFIED IN CHARTER
641 West 59th Street, New York, NY 10019
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ADDRESS OF PRINCIPAL EXECUTIVE OFFICES
212-397-7788
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ISSUER'S TELEPHONE NUMBER INCLUDING AREA CODE
I. Change in Number of Shares Outstanding
Indicate any change (increase or decrease) of five percent 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 35,807,641
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3. Number of shares outstanding after the change 44,175,535
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4. Effective date of change July 23, 1996
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5. Method of change Voluntary conversion of convertible pref. stock
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Specify method (such as merger, acquisition, exchange,
distribution, stock split, reverse split, acquisition of stock for
treasury, etc.)
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Give brief description of transaction
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II. Change in Name of Issuer
1. Name of 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 OFFICER'S SIGNATURE AND TITLE
