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
First Citizens Financial Corporation
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(Exact name of issuer as specified in charter)
22 Firstfield Road, Gaithersburg, MD 20878
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(Address of principal executive offices)
Issuer's telephone number, including area code 301-527-2400
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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
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2. Number of shares outstanding before the change 2,650,551
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3. Number of shares outstanding after the change 2,915,606
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4. Effective date of change May 3, 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.) Stock
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Dividend
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Give brief description of transaction 10% stock dividend payable on
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June 3, 1996 to stockholders of record on May 3, 1996.
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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 May 9, 1996 Enos K. Fry, Vice Chairman & President
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(Officer's signature & title)
