SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 ------------------- FORM 10-C REPORT BY ISSUER OF SECURITIES QUOTED ON NASDAQ 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 ------------- CopyTele, Inc. -------------------------------------------------------------------------- (Exact name of issuer as specified in charter) 900 Walt Whitman Road Huntington Station, NY 11746 -------------------------------------------------------------------------- (Address of principal executive offices) Issuer's telephone number, including area code: (516) 549-5900 I. CHANGE IN NUMBER OF SHARES OUTSTANDING Indicate any change (increase or decrease) of five percent or more in number of shares outstanding: 1. Title of Security: Common Stock 2. Number of shares outstanding before the change: 28,382,183 3. Number of shares outstanding after the change: 56,764,366 4. Effective date of change: June 17, 1996 5. Method of change: Specify method (such as merger, acquisition, exchange, distribution, stock split, reverse split, acquisition of stock for treasury, etc.) Stock Split Give brief description of transaction: Two-for-one stock split in the form of a stock dividend of one share of common stock for each share outstanding. 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: /s/ Gerald J. Bentivegna 6/19/96 V.P. - Finance -------------------------- ---------------------------------------------- Date (Officer's signature and title) NYFS11...:\95\38995\0001\1196\FRM6196P.420