FORM 10-C SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 Report by issuer of securities quoted on The Nasdaq Stock Market (SM), filed pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 and Rule 13a-17 or 15d-17 thereunder. C.I.S. TECHNOLOGIES, INC. - -------------------------------------------------------------------------------- Exact name of issuer, as specified in charter 6100 South Yale, Suite 1900, Tulsa, Oklahoma 74136 - -------------------------------------------------------------------------------- Address of principal executive offices (918) 496-2451 - -------------------------------------------------------------------------------- Issuer's telephone number (including area code) 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 28,436,143 - -------------------------------------------------------------------------------- 3. Number of shares outstanding after the change 30,051,961 - -------------------------------------------------------------------------------- 4. Effective date of change 11/21/94 - -------------------------------------------------------------------------------- 5. Method of change New Issuance - -------------------------------------------------------------------------------- Specify method (such as merger, acquisition, exchange, distribution, stock split, reverse split, acquisition of stock for treasury, etc.) - -------------------------------------------------------------------------------- Give brief description of transaction: 1,615,818 shares of common stock issued for cash in a private/non-public transaction - -------------------------------------------------------------------------------- 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 8/29/95 /s/ Richard A. Evans, Chief Financial Officer and Treasurer - -------------------------------------------------------------------------------- DATE OFFICER'S SIGNATURE AND TITLE