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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
OR 15d-17 THEREUNDER
PHYSICIAN SUPPORT SYSTEMS, INC.
(Exact name of issuer as specified in charter)
ROUTE 230 AND EBY-CHIQUES ROAD, MT. JOY, PA 17552
(Address of principal executive offices)
Issuer's telephone number, including area code: (717) 653-5340
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, par value $.001 per share
2. Number of shares outstanding before the change: 6,276,628
3. Number of shares outstanding after the change: 7,221,628
4. Effective date of change: June 28, 1996
5. Method of change: Specify method (such as merger, acquisition, exchange,
distribution, stock split, reverse split, acquisition
of stock for treasury, etc.): Merger
Give brief description of transaction: A wholly owned subsidiary of Issuer
merged into Synergistic Systems, Inc. ("SSI"). In the merger, each share of
common stock of SSI was converted into the right to receive 1.575 shares of
Common Stock of the Issuer, for an aggregate of 945,000 shares.
II. CHANGE IN NAME OF ISSUER
1. Name prior to change ______________________________________________________
2. Name after change _________________________________________________________
3. Effective date of charter amendment changing name _________________________
4. Date of shareholder approval of change, if required _______________________
DATE JULY 2, 1996 /S/ DAVID S. GELLER
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DAVID S. GELLER
SENIOR VICE PRESIDENT
