SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported) November 25, 1996 LCA-Vision Inc. (Exact name of Registrant as specified in its Charter) Delaware 0-27610 11-2882328 (State or other jurisdiction (Commission (IRS Employer of incorporation) File No.) Identification Number) 7840 Montgomery Road, Cincinnati, Ohio 45236 (Address of principal executive offices) (Zip Code) Registrant's telephone number, including area code: (513)792-9292 N/A (Former name or former address, if changed since last report) Item 5. Other Events On November 25, 1996, LCA-Vision Inc. (the "Company") issued a total of 44,444 shares of its common stock for total consideration of $100,000 to certain private investors in connection with the Company's plans to open one or more laser sight centers on the west coast. On December 3, 1996, the Company issued a total of five shares of an Interim Series of its Class B Preferred Stock to Stephen N. Joffe in exchange for the conversion of $1,000,000 of the debt owed to Dr. Joffe by the Company. One additional share of Interim Series Class B Preferred Stock was issued to Sandra Joffe in exchange for the conversion of $200,000 of debt owed to her by the Company. The above described transactions increased the Company's stockholders' equity by an aggregate total of $1,300,000, as reflected on the pro forma September 30, 1996 balance sheet filed herewith as an exhibit. Item 7. Financial Statements and Exhibits (a) Exhibit 7(a) -- Pro forma balance sheet of the Company as of September 30, 1996 showing effects of certain stock issuances. (b) Exhibit 3(i) -- Certificate of Designations of Interim Series Class B Preferred Stock as filed with the Delaware Secretary of State SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized. LCA-VISION INC. Date: December 3, 1996 By: /s/ Larry P. Rapp Larry P. Rapp, Chief Financial Officer EXHIBIT 7(a) LCA-Vision Inc. Condensed Consolidated Balance Sheet September 30, 1996 (unaudited) As Reported Pro Forma ____________ __________ ASSETS Current Assets Cash and cash equivalents $ 802,847 $ 902,847 Accounts receivable, net of allowance for doubtful accounts of $205,235 2,283,440 2,283,440 Supplies inventory, prepaid expenses, and other 1,103,902 1,103,902 _________ _________ Total current assets 4,190,189 4,290,189 Property and equipment, net 8,644,793 8,664,793 Investment in unconsolidated affiliates 364,760 364,760 Other assets 783,344 783,344 ____________ ___________ Total assets $ 13,983,086 $14,083,086 ____________ ___________ LIABILITIES AND SHAREHOLDERS' EQUITY Current Liabilities Accounts payable $ 546,411 $ 546,411 Bank line of credit 1,940,000 1,940,000 Accrued liabilities 1,084,879 1,084,879 Current portion of long-term debt 636,757 636,757 Deferred revenue 623,245 623,245 __________ _________ Total current liabilities 4,831,292 4,831,292 Long-term debt, net of current portion 5,056,870 5,056,870 Notes payable to shareholders 4,021,672 2,821,672 Shareholders' Equity Preferred stock-authorized 6,751 shares $.001 par value, 6,751 shares issued and outstanding 7 7 Preferred stock-authorized shares $.001 par value, shares issued and outstanding - 1,200,000 Common stock-authorized 110,000,000 shares $.001 par value, 19,662,319 shares issued and outstanding 78,471 78,515 Paid in capital 3,077,642 3,177,598 Retained (deficit) (3,103,147) (3,103,147) Translation adjustment 20,279 20,279 ___________ _________ Total shareholders' equity 73,252 1,373,252 ___________ __________ Total liabilities and shareholders' equity $ 13,983,086 $14,083,086 ___________ ______________ ___________ ______________