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OMB APPROVAL
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OMB Number: UNITED STATES 3235-0058
Expires: SECURITIES AND EXCHANGE COMMISSION May 31, 1997
Estimated average burden WASHINGTON, D.C. 20549
hours per response..........................................................2.50
FORM 12B-25
SEC FILE NUMBER
1-13840
NOTIFICATION OF LATE FILING
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(Check One): [ ] Form 10-K [ ] Form 20-F [ ] Form 11-K [ ] Form 10-Q [X] Form N-SAR
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CUSIP NUMBER
744678103
For Period Ended: September 30, 1996
[ ] Transition Report on Form 10-K
[ ] Transition Report on Form 20-F
[ ] Transition Report on Form 11-K
[ ] Transition Report on Form 10-Q
[ ] Transition Report on Form N-SAR
For the Transition Period Ended:
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Read Instruction (on back page) Before Preparing Form. Please Print or Type.
NOTHING IN THIS FORM SHALL BE CONSTRUED TO IMPLY THAT THE COMMISSION HAS
VERIFIED ANY INFORMATION CONTAINED HEREIN
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If the notification relates to a portion of the filing checked above, identify
the item(s) to which the notification relates:
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PART I -- REGISTRANT INFORMATION
Pudgie's Chicken, Inc.
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Full Name of Registrant
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Former Name if Applicable
333 Earle Ovington Blvd., Suite 604
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Address of Principal Executive Office (Street and Number)
Uniondale, NY 11553
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City, State and Zip Code
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PART II -- RULES 12B-25(b) AND (c)
If the subject report could not be filed without unreasonable effort or expense
and the registrant seeks relief pursuant to Rule 12b-25(b), the following should
be completed. (Check appropriate box)
[X] (a) The reasons described in reasonable detail in Part III of
form could not be eliminated without unreasonable
effort or expense;
[X] (b) The subject annual report, semi-annual report, transition
report on Form 10-K, 20-F, 11-K or Form N-SAR, or portion
thereof, will be filed on or before the fifteenth calendar
day following the prescribed due date; or the subject
quarterly report of transition report on Form 10-Q, or
portion thereof will be filed on or before the fifth
calendar day following the prescribed due date; and
[ ] (c) The accountant's statement or other exhibit required by
Rule 12b-25(c) has been attached is applicable.
PART III -- NARRATIVE
State below in reasonable detail the reasons why Forms 10-K, 20-F, 11-K, 10-Q,
N-SAR, or the transition report or portion thereof could not be filed within the
prescribed time period. (ATTACH EXTRA SHEETS IF NEEDED)
The Company filed a Voluntary Petition under Chapter 11 of the
Bankruptcy Code on September 18, 1996. The Company is currently providing
information to the Bankruptcy Court, the recently formed creditors' committee
and is in the process of finalizing its first formal operating report to the
Bankruptcy Court. The Company is also currently changing its reporting to comply
to the rules of Chapter 11 and its related disclosure.
As a result, the Company has been unable to complete the report within
the prescribed time period.
PART IV -- OTHER INFORMATION
(1) Name and telephone number of person to contact in regard to this
notification
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Steven Wasserman, President and Chief Executive Officer 516 222-8833
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(Name) (Area Code) (Telephone Number)
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(2) Have all other periodic reports required under Section 13 or 15(d) of
the Securities Exchange Act of 1934 or Section 30 of the Investment
Company Act of 1940 during the preceding 12 months or for such shorter
period that the registrant was required to file such report(s) been
filed? If answer is no, identify report(s).
[X] Yes [ ] No
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(3) Is it anticipated that any significant change in results of operations
from the corresponding period for the last fiscal year will be reflected
by the earnings statements to be included in the subject report or
portion thereof?
[X] Yes [ ] No
If so: attach an explanation of the anticipated change, both narratively
and quantitatively, and, if appropriate, state the reasons why a
reasonable estimate of the results cannot be made. SEE ATTACHED RIDER A.
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PUDGIE'S CHICKEN, INC.
(Name of Registrant as Specified in Charter)
has caused this notification to be signed on its behalf by the undersigned
thereunto duly authorized.
Date: November 14, 1996 By: /s/ Steven Wasserman
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Name: Steven Wasserman
Title: President and Chief Executive Officer
INSTRUCTION: The form may be signed by an executive officer of the registrant or
by any other duly authorized representative. The name and title of the person
signing the form shall be typed or printed beneath the signature. If the
statement is signed on behalf of the registrant by an authorized representative
(other than an executive officer), evidence of the representative's authority to
sign on behalf of the registrant shall be filed with the form.
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ATTENTION
INTENTIONAL MISSTATEMENTS OR OMISSIONS OF FACT CONSTITUTE
FEDERAL CRIMINAL VIOLATIONS (SEE 18 U.S.C. 1001).
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GENERAL INSTRUCTIONS
1. This form is required by Rule 12b-25 (17 CFR 240.25) of the General
Rules and Regulations under the Securities Exchange Act of 1934.
2. One signed original and four conformed copies of this form and
amendments thereto must be completed and filed with the Securities and
Exchange Commission, Washington, D.C. 20549, in accordance with Rule 0-3
of the General Rules and Regulations under the Act. The information
contained in or filed with the form will be made a matter of public
record in the Commission files.
3. A manually signed copy of the form and amendments thereto shall be filed
with each national securities exchange on which any class of securities
of the registrant is registered.
4. Amendments to the notifications must also be filed on form 12b-25 but
need not restate information that has been correctly furnished. The form
shall be clearly identified as an amended notification.
5. Electronic Filers. This form shall not be used by electronic files
unable to timely file a report solely due to electronic difficulties.
Filers unable to submit a report within the time period prescribed due
to difficulties in electronic filing should comply with either Rule 201
or Rule 202 of Regulation S-T (ss. 232.201 or ss. 232.202 of this
chapter) or apply for an adjustment in filing date pursuant to Rule
13(b) of Regulation S-T (ss. 232.12(b) of this chapter).
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Rider A to the Form 12b-25
Notification of Late Filing on Behalf of Pudgie's Chicken, Inc.
Total revenue was approximately $9.2 million for the nine months ended
September 30, 1996, an increase of approximately $941,000, or 11%, over revenue
of approximately $8.2 million for the nine months ended September 30, 1995. This
increase was primarily due to the increase in the number of Company-owned
restaurants to 30 open during the nine months ended September 30, 1996, offset
by the closing of 10 Company-owned restaurants during the three months ended
September 30, 1996. This resulted in a net decrease in the number of Company-
owned restaurants from 26 at September 30, 1995 to 20 at September 30, 1996. The
number of franchised restaurants decreased from 37 at September 30, 1995 to 31
at September 30, 1996.
The Company incurred a net loss of approximately $4.7 million during the
nine months ended September 30, 1996, an increase of approximately $1.8 million,
or 65%, from the net loss of approximately $2.9 million in the comparable 1995
period. The increase in the loss was attributable principally to approximately
$1.2 million in costs expensed in conjunction with the closing of 10
Company-owned restaurants during the three months ended September 30, 1996 and
the growth of total revenue by approximately 11% from the comparable prior year
period as compared to an increase of approximately 25% in total expenses from
the prior year comparable period.
STATEMENT OF DIFFERENCES
The section symbol shall be expressed as ss.