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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: 8,493,433
3. Number of shares outstanding after the change: 9,183,830
4. Effective date of change: May 29, 1996
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5. Method of change: Additional shares were issued in six previous
transactions.
(a) On March 31, 1996, 154 common shares were issued as a result of
the warrant dividends being exercised.
(b) On April 26, 1996, 40,000 common shares were issued as part of
the consideration from the purchase of the assets of Out & Back
Enterprises;
(c) On May 7, 1996, 83,723 common shares were issued as a result of a
partial conversion of the convertible note dated December 14,
1995 with Legong Investments N.V.;
(d) On May 21, 1996, 221,071 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 May 23, 1996, 221,071 common shares were issued as a result of
a partial conversion convertible note dated January 29, 1996 with
Santina Holding, Inc.;
(f) On May 28, 1996, 124,378 common shares were issued as a result of
a partial conversion of a convertible note dated January 29, 1996
with Santina Holding, Inc.
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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: May 29, 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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