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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: 12,902,243
3. Number of shares outstanding after the change: 13,685,548
4. Effective date of change: February 28, 1997
Page 1 of 3 Pages
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1. Method of change: Additional shares were issued in four previous
transactions.
(a) On November 14, 1996, 360,239 common shares of stock were issued
as a result of a partial conversion of a convertible noted dated
January 29, 1996 with Santina Holding, Inc.;
(b) On January 28, 1997, 196,399 common shares of stock were issued
as a result of a partial conversion of a convertible noted dated
December 14, 1995 with Legong Investments N.V.;
(c) On February 27, 1997, 200,000 common shares of stock were issued
pursuant a consulting agreement with One Capital Corporation
dated February 4, 1997.
(d) On February 28, 1997, 26,667 common shares of stock were issued
as a result of a partial conversion of a convertible noted dated
December 14, 1995 with Gross Foundation;
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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: March 7, 1997
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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