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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 Reliance Network, Inc.
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(Exact name of issuer as specified in charter)
8115 Preston Road, Suite 300, Dallas, Texas 75225
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(Address of principal executive offices)
Issuer's telephone number, including area code (214) 692-3800
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I. CHANGE IN NUMBER OF SHARES OUTSTANDING
1. Title of security: Common Stock
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2. Number of shares outstanding before the change: 23,656,485
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3. Number of shares outstanding after the change: 47,312,970
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4. Effective date of change: May 31, 1996 (record date); June 10, 1996
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(payment date)
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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.):
Stock Split
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Give brief description of transaction: 2-for-1 split of the Company's
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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 4, 1996 /s/ Randall D. Kurtz
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Randall D. Kurtz
Executive Vice President and
Chief Financial Officer