UNITED STATES OMB APPROVAL
SECURITIES AND EXCHANGE COMMISSION OMB NUMBER: 3235-0058
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FORM 12B-25
SEC FILE NUMBER
NOTIFICATION OF LATE FILING 0-18291
CUSIP NUMBER
97607634
(Check one): Form 10-K Form 11-K Form 20-F X Form 10-Q Form N-SAR
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For Period Ended: September 30, 1997
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Read Instructions (on back page) Before Preparing Form. Please Print or Type.
Nothing in this Form Shall be construed to imply that the Commission has
verified any information contained herein.
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If the notification relates to a portion of the filing checked above, identify
the Item(s) to which the notification relates:
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PART I -- REGISTRANT INFORMATION
U.S. PAWN, INC.
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Full Name of Registrant
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Former Name if Applicable
7215 Lowell Blvd.
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Address of Principal Executive Officer (Street and Number)
Westminster, Colorado 80030
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City, State and Zip Code
PART II -- RULES 12b-25(b) AND (c)
If the subject report could not be filed without unreasonable effort or expense
and the registrant seeks relief pursuant to Rule 12b-25, the following should be
completed. (Check box if appropriate)
( (a) The reasons described in reasonable detail in Part III of
this form could not be eliminated without unreasonable
effort or expense;
X ( (b) The subject annual report or semi-annual report/portion
- --------- thereof will be filed on or before the fifteenth calendar
day following the prescribed due date; or the subject
quarterly report or transition report on Form 10-Q, or
portion thereof will be filed on or before the fifth
calendar day following the prescribed due date; and
( (c) The accountant's statement or other exhibit required by
Rule 12b-25(c) has been attached if applicable.
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PART III -- NARRATIVE
State below in reasonable detail the reasons why the Form 10-K, 11-K, 20-F, 10-Q
or N-SAR or portion thereof, could not be filed within the prescribed time
period.
Due to the below described resignations of certain Members of the
Registrant's Board of Directors, the Registrant's Chief Executive Officer and
the Registrant's Chief Financial Officer, the Registrant's Form 10-QSB for the
period ended September 30, 1997 could not be filed within the prescribed time
period.
On October 29, 1997, U.S. Pawn, Inc. (the "Registrant") accepted the
resignations of Daniel B. Rudden, Stanley M. Edelstein, Larry M. Snyder and
Melvin Wedgle as members of the Registrant's Board of Directors pursuant to the
agreement contained in the Schedule 14f(1) filed by the Registrant on September
26, 1997. The Registrant also accepted the resignations of Melvin Wedgle as
Chief Executive Officer and President and Jack Simon as Secretary and Chief
Financial Officer. All resignations were effective as of October 29, 1997.
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<PAGE>
PART IV -- OTHER INFORMATION
(1) Name and telephone number of persons to contact in regard to this
notification
Charles C. Van Gundy 303 652-3550
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(Name) (Area Code) (Telephone Number)
(2) Have all other periodic reports required under Section 13 or 15(d) of the
Securities Exchange Act of 1934 or Section 30 of the Investment Company Act
of 1940 during the preceding 12 months (or for such shorter) period that
the registrant was required to file such reports) been filed? If answer is
no, identify report(s). X yes no
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Is it anticipated that any significant change in results of operations from the
corresponding period for the last fiscal year will be reflected by the earnings
statements to be included in the subject report or portion thereof?
yes no X
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If so, attach an explanation of the anticipated change, both narratively and
quantitatively, and, if appropriate, state the reasons why a reasonable estimate
of the results cannot be made.
U.S. Pawn, Inc.
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(Name of Registrant as Specified in Charter)
has caused this notification to be signed on its behalf by the undersigned
hereunto duly authorized.
Date: November 14, 1997 By: /s/ Charles C. Van Gundy
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INSTRUCTION: The form may be signed by an executive officer of the registrant or
by any other duly authorized representative. The name and title of the person
signing the form shall be typed or printed beneath the signature. If the
statement is signed on behalf of the registrant by an authorized representative
(other than an executive officer), evidence of the representative's authority to
sign on behalf of the registrant shall be filed with the form.
ATTENTION
Intentional misstatements or omissions of fact constitute Federal Criminal
Violations (see 18 U.S.C. 1001)
GENERAL INSTRUCTIONS
1. This Form is required by Rule 12b-25 (17 CFR 240.12b-25) of the General Rules
and Regulations under the Securities Exchange Act of 1934.
2. One signed original and four conformed copies of this Form and amendments
thereto must be completed and filed with the Securities and Exchange Commission,
Washington, D.C. 20549, in accordance with Rule 0-3 of the General Rules and
Regulations under the Act. The information contained in or filed with the Form
will be made a matter of public record in the Commissions files.
3. A manually signed copy of the form and amendments thereto shall be filed with
each national securities exchange on which any class of securities of the
registrant is registered.
4. Amendments to the notification must also be filed on Form 12b-25 but need not
restate information that has been correctly furnished. The Form shall be clearly
identified as an amendment notification.
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