UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-K/A ANNUAL REPORT PURSUANT TO SECTION 13 OR 15d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the fiscal year ended June 30, 1997 Commission File Number: 1-11691 ----------- CUSA Technologies, Inc. ------------------------------------------------------------ (Exact name of the registrant as specified in charter) Nevada 87-0439511 --------------------------- ------------------------------ (State of Incorporation) (IRS Identification Number) 986 West Atherton Drive, Salt Lake City, Utah 84123 ------------------------------------------------------------ (Address of principle executive offices) (801) 263-1840 ----------------------------------------------------------- (Telephone of issuer including area code) Securities registered under section 12(b) of the Exchange Act: Title of each class Name of each exchange on which registered None None Securities registered under section 12(g) of the Exchange Act: Common Stock, Par Value $0.001 Indicate by check mark whether the Registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act during the past 12 months (or for such shorter period that the registrant was required to file such reports) and (2) has been subject to such filing requirements for the past 90 days. Yes ___X___ No ________ Indicate by check mark if disclosure of delinquent filers in response to Item 405 of Regulation S-K is not contained herein will not be contained, to the best of registrant's knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K. ___X___ As of October 10, 1997, there were 15,289,437 shares of the Issuer's common stock, par value $0.001, issued and outstanding. The aggregate market value of the Issuer's voting stock held by nonaffiliates of the Issuer was approximately $3,512,889 computed at the closing bid for the Issuer's common stock of $0.56 as of October 10, 1997 . DOCUMENTS INCORPORATED BY REFERENCE If the following documents are incorporated by reference, briefly describe them and identify the part of the Form 10-K (e.g., part I, part II, etc.) into which the document is incorporated: (1) any annual report to security holders; (2) any proxy or information statement; and (3) any prospectus filed pursuant to rule 424(b) or (c) under the Securities Act of 1933. The list documents should be clearly described for identification purposes. None. - -------------------------------------------------------------------------------- SIGNATURES - -------------------------------------------------------------------------------- Pursuant to the requirements of section 13 or 15(d) of the Securities and Exchange Act of 1934 as amended, the Company has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized. Dated: Oct. 13, 1997 CUSA Technologies, Inc. /s/Richard N. Beckstrand ---------------------------------------------- Richard N. Beckstrand, Chief Executive Officer Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, this report has been signed below by the following persons on behalf of the Registrant and in the capacities and on the dates indicated. Dated: Oct. 13 , 1997 By: /s/Richard N. Beckstrand ------------ ------------------------------------------ Richard N. Beckstrand, Principal Executive Officer, Director Dated: Oct. 13 , 1997 By: /s/D. Jeff Peck ------------ ------------------------------------------ D. Jeff Peck, Principal Financial Officer Dated: Oct. 13 , 1997 By: /s/Paul G. Murray ------------ ------------------------------------------ Paul G. Murray, Controller Dated: Oct. 13 , 1997 By: /s/Johnathan S. Beckstrand ------------ ------------------------------------------ Jonathan S. Beckstrand, Director Dated: Oct. 13 , 1997 By: /s/Gary L. Leavitt ------------ ------------------------------------------ Gary L. Leavitt, Director Dated: Oc. 13 , 1997 By: /s/David J. Rank ------------ ------------------------------------------ David J. Rank, Director Dated: ____________, 1997 By: __________________________________________ Mark Scott, Director Dated: ____________, 1997 By: __________________________________________ L. Bruce Ford, D.P.M., Director