U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
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FORM 10-KSB/A
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[X] ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934
For the fiscal year ended December 31, 1995
OR
[ ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934
Commission file number 33-23429-D
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NIGHTINGALE, INC.
(Name of Small Business Issuer as specified in its charter)
Utah 87-044988-8
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(State or other jurisdiction of (I.R.S. employer
incorporation or organization) identification No.)
2232 Eastwood Blvd. 84403
Ogden, Utah 84403 (Zip Code)
(Address of principal executive offices)
Issuer's telephone number, including area code: (801) 479-0742
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Securities registered pursuant to Section 12(b) of the Exchange Act: None
Securities registered pursuant to Section 12(g) of the Exchange Act: None
Check whether the Issuer (1) has filed all reports required to be filed by
Section 13 or 15(d) of the Exchange Act during the preceding 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. Yes X No
.
Check if there is no disclosure of delinquent filers in response to Item
405 of Regulation S-B contained in this form, and no disclosure will be
contained, to the best of Issuer's knowledge, in definitive proxy or information
statements incorporated by reference in Part III of this Form 10-KSB or any
amendment to this Form 10-KSB. X
The Issuer's revenues for the fiscal year ending December 31, 1995 were
$10,142.
As of the date hereof, there is no public market for the Registrant's
securities. The Registrant has closed its public offering but, pursuant to Rule
164-11-1 as promulgated by the Utah Securities Division, no securities sold in
the public offering have been issued. The number of shares outstanding of the
Registrant's sole class of common stock, as of December 31, 1995, and as of July
2, 1996, is 1,000,000 shares.
The only amendment made to this document is with respect to the attached
Exhibit 27, which was erroneously filed in the initial Form 10-KSB.
DOCUMENTS INCORPORATED BY REFERENCE: NONE
<PAGE>
SIGNATURES
In accordance with Section 13 or 15(d) of the Exchange Act, the Company
caused this Report to be signed on its behalf by the undersigned, thereunto duly
authorized.
NIGHTINGALE, INC.
By /s/ William Grilz
William Grilz
Principal Executive Officer
By /s/ David Knudson
David Knudson
Secretary/Treasurer
Principal Financial Officer
Dated: September 30, 1996
Pursuant to the requirements of the Securities Act of 1934, this Disclosure
Statement has been signed by the following persons in the capacities and on the
dates indicated:
Signature Title Date
/s/ William Grilz President September 30, 1996
William Grilz and Director
/s/ Michael Hendry Director September 30, 1996
Michael Hendry
/s/ David Knudson Secretary/Treasurer September 30, 1996
David Knudson and Director
2
<TABLE> <S> <C>
<ARTICLE> 5
<LEGEND>
THIS SCHEDULE CONTAINS SUMMARY FINANCIAL INFORMATION EXTRACTED FROM NIGHTINGALE,
INC.'S DECEMBER 31, 1995 FINANCIAL STATEMENTS AND IS QUALIFIED IN ITS ENTIRETY
BY REFERENCE TO SUCH FINANCIAL STATEMENTS
</LEGEND>
<S> <C>
<PERIOD-TYPE> 3-MOS
<FISCAL-YEAR-END> DEC-31-1995
<PERIOD-END> SEP-30-1996
<CASH> 340
<SECURITIES> 0
<RECEIVABLES> 0
<ALLOWANCES> 0
<INVENTORY> 0
<CURRENT-ASSETS> 191,782
<PP&E> 0
<DEPRECIATION> 0
<TOTAL-ASSETS> 191,782
<CURRENT-LIABILITIES> 285,782
<BONDS> 0
0
0
<COMMON> 1,000,000
<OTHER-SE> 0
<TOTAL-LIABILITY-AND-EQUITY> 191,782
<SALES> 0
<TOTAL-REVENUES> 10,142
<CGS> 0
<TOTAL-COSTS> 18,273
<OTHER-EXPENSES> 0
<LOSS-PROVISION> (8,131)
<INTEREST-EXPENSE> 0
<INCOME-PRETAX> 0
<INCOME-TAX> 357
<INCOME-CONTINUING> 0
<DISCONTINUED> 0
<EXTRAORDINARY> 0
<CHANGES> 0
<NET-INCOME> 340
<EPS-PRIMARY> (.00)
<EPS-DILUTED> (.00)
</TABLE>
