SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D. C. 20549 FORM 10-C REPORT BY ISSUER OF SECURITIES QUOTED ON NASDA 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 Xerographic Laser Images Corporation - ------------------------------------------------------------------------------ (Exact name of issuer as specified in charter) 101 Billerica Avenue, 5 Billerica Park, North Billerica, MA 01862 - ------------------------------------------------------------------------------- (Address of principal executive offices) Issuer's telephone number, including area code 508-670-5999 --------------------------------- I. CHANGE IN NUMBER OF SHARES OUTSTANDING Indicate any change (increase or decrease) of five percent or more in the number of shares outstanding: 1. Title of security Common Stock ---------------------------------------------------------- 2. Number of shares outstanding before the change 1,778,647 ----------------------------- 3. Number of shares outstanding after the change 2,039,311 ------------------------------ 4. Effective date of change June 10, 1997 --------------------------------------------------- 5. Method of change: Specify method (such as merger, acquisition, exchange, distribution, stock split, reverse split, acquisition of stock for treasury, etc.) Exchange ------------------------------------------------------------ Give brief description of transaction Vested Options Exchanged for Common Stock -------------------------------------- --------------------------------------------------------------------------- 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 June 17, 1997 /s/James L. Salerno, Chief Financial Officer --------------------- -------------------------------------------- (Officer's signature and title)