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This Document is a Copy of the 10-C
filed on May 14, 1996 pursuant to a
Rule 201 Temporary Hardship Exemption.
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
AUSTIN'S INTERNATIONAL, INC.
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(Exact name of issuer as specified in charter)
2400 E. Commercial Blvd., Suite 800, Ft. Lauderdale, FL 33308
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(Address of principal executive offices)
Issuer's telephone number, including area code: (954) 772-0980
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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: Austin's Common Stock
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2. Number of shares outstanding before the change: 6,713,550
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3. Number of shares outstanding after the change: 10,003,550
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4. Effective date of change: 5/9/96
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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.):
Conversion of debt to equity
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Give brief description of transaction: Seven holders of 8%, $.50
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Convertible Notes converted $1,645,000 of notes into 3,290,000 shares of
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Austin's 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: 5/13/96
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(Officer's signature & title)
/s/ Larry E. Graybill
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Larry E. Graybill
Chief Financial Officer
