SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D. C. 20549
FORM 10-C
REPORT BY ISSUER OF SECURITIES QUOTED ON NASDA
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
Xerographic Laser Images Corporation
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(Exact name of issuer as specified in charter)
101 Billerica Avenue, 5 Billerica Park, North Billerica, MA 01862
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(Address of principal executive offices)
Issuer's telephone number, including area code 508-670-5999
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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
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2. Number of shares outstanding before the change 1,778,647
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3. Number of shares outstanding after the change 2,039,311
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4. Effective date of change June 10, 1997
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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.) Exchange
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Give brief description of transaction Vested Options Exchanged for 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 June 17, 1997 /s/James L. Salerno, Chief Financial Officer
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(Officer's signature and title)
