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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 under rule 13a-17
or 15(d)-17 thereunder
JAVA CENTRALE, INC.
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(Exact name of issuer as specified in charter)
1610 Arden Way, Suite 145
Sacramento, California 95815
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(Address of principal executive offices)
ISSUER'S TELEPHONE NUMBER, INCLUDING AREA CODE: (916) 568-2310
I. CHANGE IN NUMBER OF SHARES OUTSTANDING
1. Title of security: Common Stock, no par value
2. Number of shares outstanding before the change: 9,183,830
3. Number of shares outstanding after the change: 9,726,431
4. Effective date of change: June 26, 1996
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5. Method of change: Additional shares were issued in six previous
transactions.
(a) On May 31, 1996, 2,105 common shares were issued as a result of a
partial conversion of the convertible note dated December 14, 1995
with Legong Investments N.V.;
(b) On June 6, 1996, 271,001 common shares were issued as a result of a
partial conversion of the convertible note dated January 29, 1996 with
Santina Holding, Inc.;
(d) On June 7, 1996, 68,376 common shares were issued as a result of a
partial conversion of a convertible note dated December 14, 1996 with
Legong Investments N.V.;
(e) On June 14, 1996, 67,919 common shares were issued as a result of a
partial conversion of a convertible note dated December 14, 1996 with
Legong Investments N.V.;
(f) On June 20, 1996, 133,200 common shares were issued as a result of a
partial conversion of a convertible note dated December 14, 1996 with
Legong Investments N.V.;
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II. CHANGE IN NAME OF ISSUER
1. Name prior to change: N/A
2. Name after change: N/A
3. Effective date of charter amendment change name: N/A
4. Date of shareholder approval of change, if required: N/A
Date: June 27, 1996
JAVA CENTRALE, INC.
By: /s/ Steven J. Orlando
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Steven J. Orlando
Vice President and
Chief Financial Officer
(Officer's signature and title)
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