-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, TB8zJM0OxcdGzpc1QtdTYt+hcCECNoV8231HzhhxUP3BTkaHle8Y8WVGkCdSgtXv 1Wi9fCzouR4SZgBcKdpGIg== 0000918545-96-000017.txt : 19960904 0000918545-96-000017.hdr.sgml : 19960904 ACCESSION NUMBER: 0000918545-96-000017 CONFORMED SUBMISSION TYPE: 10-C PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19960724 FILED AS OF DATE: 19960903 SROS: NASD FILER: COMPANY DATA: COMPANY CONFORMED NAME: BALTIC INTERNATIONAL USA INC CENTRAL INDEX KEY: 0000918545 STANDARD INDUSTRIAL CLASSIFICATION: ARRANGEMENT OF TRANSPORTATION OF FREIGHT & CARGO [4731] IRS NUMBER: 760336843 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 10-C SEC ACT: 1934 Act SEC FILE NUMBER: 000-26558 FILM NUMBER: 96625072 BUSINESS ADDRESS: STREET 1: 1990 POST OAK BLVD STREET 2: SUITE 1630 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7139619299 MAIL ADDRESS: STREET 1: 1990 POST OAK BLVD STREET 2: SUITE 1630 CITY: HOUSTON STATE: TX ZIP: 77056 10-C 1 U.S. SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 FORM 10-C Report by Issuer of Securities Quoted on Nasdaq Inter-Dealer Quotation System Filed Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 an Rules 13a-17 and 15d-17 Thereunder BALTIC INTERNATIONAL USA, INC. (Exact Name or Issuer as Specified in Charter) 1990 Post Oak Boulevard, Suite 1630, Houston, Texas 77056 (Address of Principal Executive Offices) (713) 961-9299 (Issuer's Telephone Number, Including Area Code) I. CHANGE IN NUMBER OF SHARES OUTSTANDING Indicate any change (increase or decrease) of 5% or more in the number of shares outstanding: 1. Title of Security: Common Stock 2. Number of shares outstanding before the change: 6,007,315 3. Number of shares outstanding after the change: 6,711,582 4. Effective date of change: May 1996 through July 1996 5. Method of change: Specify method (such as merger, acquisition, exchange, distribution, stock split, reverse split, acquisition of stock for treasury, etc.) Original Issuances Give brief description of transaction: Between May 1996 and July 1996, an aggregate of 10,000 shares were issued in capital raising transactions not involving a public offering. In addition, 236,668 shares were issued for services rendered, 151,386 shares were issued upon conversion of outstanding shares of the Company's Series B Convertible Redeemable Preferred Stock and 306,213 shares were issued upon conversion of an outstanding convertible note. II. CHANGE IN NAME OF ISSUER 1. Name prior to change 2. Name after change 3. Effective date of charter amendment changing name 4. Date of shareholder approval of change, if required Date: July 24, 1996 /s/ James W. Goodchild --------------------------- --------------------------------------- JAMES W. GOODCHILD, Chief Operating and Financial Officer -----END PRIVACY-ENHANCED MESSAGE-----