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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
AND 15d-17 THEREUNDER
Community First Bankshares, Inc.
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(Exact name of issuer as specified in charter)
520 Main Avenue, Fargo, ND 58124-0001
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(Address of principal executive offices)
(701) 298-5600
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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, $.01 par value per share
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2. Number of shares outstanding before the change: 12,026,012
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3. Number of shares outstanding after the change: 17,198,115
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4. Effective date of change: December 18, 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.): Merger
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Give brief description of transaction: The Company acquired Mountain Parks
Financial Corp. and issued 5,170,828 shares of its common stock.
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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: 12/26/96 /s/ Mark A. Anderson
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Mark A. Anderson, Executive Vice President
and Chief Financial Officer
(Officer's signature & title)
