INNOVATIVE CLINICAL SOLUTIONS LTD
SC TO-I/A, 2000-07-13
MISC HEALTH & ALLIED SERVICES, NEC
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                       SECURITIES AND EXCHANGE COMMISSION,
                             Washington, D.C. 20549
                               ------------------
                                  SCHEDULE TO/A

 Tender Offer Statement under Section 14(d)(1) or 13(e)(1) of the Securities
                              Exchange Act of 1934

                               (Amendment No. 1*)

                       INNOVATIVE CLINICAL SOLUTIONS, LTD.
                       (Name of Subject Company (issuer))

                  Innovative Clinical Solutions, Ltd. (offeror)
                  ---------------------------------------------
Names of Filing Persons (identifying status as offeror, issuer or other person))

            $100,000,000 Convertible Subordinated Debentures due 2003
                         (Title of Class of Securities)

                                    45767E107
                      (CUSIP Number of Class of Securities)

                            Margaret D. Farrell, Esq.
                          Hinckley, Allen & Snyder LLP
                                1500 Fleet Center
                              Providence, RI 02903
                                 (401) 274-2000

Name, address, and telephone numbers of person authorized to receive notices and
                  communications on behalf of filing persons)
Calculation of Filing Fee
Transaction valuation (1)             Amount of filing fee (2)
$22,500,000                           $4,500

(1) Determined in accordance  with Rule 0-11(a)(4) as the average of the bid and
asked  price of our  Debentures  reported  on June 9, 2000.
(2) Calculated  in accordance with Rule 0-11(b) as one-fiftieth of one percent
(.02%) of the transaction valuation.

[X]  Check  the box if any part of the fee is offset  as  provided  by Rule
0-11(a)(2)  and identify the filing with which the offsetting fee was previously
paid. Identify the previous filing by registration statement number, or the Form
or Schedule and the date of its filing.

<PAGE>

Amount Previously Paid:    $4,500
                       ---------------------
Form or Registration No.:  005-46363
                         ----------------------------
Filing Party:     Innovative Clinical Solutions, Ltd.
             ----------------------------------------
Date Filed:       June 12, 2000
           ------------------------------------------------------------

[ ] Check the box if the filing  relates  solely to  preliminary  communications
made before the  commencement  of a tender offer.  Check the  appropriate  boxes
below  to  designate  any  transactions  to which  the  statement  relates:
[  ] third-party tender offer subject to Rule 14d-1.
[  ] issuer tender offer subject to Rule 13e-4.
[  ] going-private transaction subject to Rule 13e-3.
[  ] amendment to Schedule 13D under Rule 13d-2.

Check the following box if the filing is a final amendment reporting the results
of the tender offer: [ ]

         This  Amendment No. 1 to  Innovative  Clinical  Solutions,  Ltd.'s (the
"Company")  Schedule TO (the  "Amendment")  amends the Schedule TO filed on June
12, 2000 (the  "Initial  Filing").  The purpose of the  Amendment  is to clarify
certain legal issues  related to the Initial  Filing.  When the Company made the
Initial  Filing,  it did so because of its  uncertainty as to whether Rule 13e-4
would be applicable to the  solicitation of consent from the holders of its $100
million  of  6  3/4%   Convertible   Subordinated   Debentures   due  2003  (the
"Debentures")  to a  prepackaged  plan of bankruptcy  which,  if approved by the
bankruptcy  court,  would result in the  cancellation  of the Debentures and the
issuance to the  Debentureholders of 90% of the Company's issued and outstanding
equity  securities.  The Company's counsel could find no authority as to whether
or not the solicitation of consents to a prepackaged  plan,  absent a concurrent
exchange offer, might be viewed as an issuer tender offer subject to Rule 13e-4.
The rules under  Section 13 and  Section 14 of the  Securities  Exchange  Act of
1934,  as amended (the  "Exchange  Act") do not contain a definition  of "tender
offer." Further,  the Bankruptcy Code requires that any solicitation of consents
to a  prepackaged  plan be  conducted  in a manner  which  complies  with "other
applicable  non-bankruptcy  law." In the  absence  of a  definition  of  "tender
offer," the Company was concerned  that the  solicitation  of consents  might be
viewed as an offer to acquire the Debentures.

         Given the absence of any  authority in the area and the  importance  of
complying with  non-bankruptcy law in connection with the consent  solicitation,
the Company voluntarily elected to take an extremely  conservative view and make
the  Initial  Filing in order to avoid a claim by any  Debentureholder  that the
solicitation   was  not   conducted  in   accordance   with  "other   applicable
non-bankruptcy  law."  While the  applicability  of the tender  offer  rules was
questionable,  the Company  determined  that the filing of the Schedule TO would
preclude  a claim by a  Debentureholder  that the  solicitation  was in some way
subject to the tender  offer  requirements  and that the  Company  had failed to
comply with such requirements, thereby necessitating a resolicitation.

                                       2
<PAGE>

         Subsequent   to  the  Initial   Filing,   the  Office  of  Mergers  and
Acquisitions of the Securities and Exchange  Commission (the "SEC") by letter to
the  Company  indicated  that  some of the  terms  of the  consent  solicitation
appeared to conflict  with the tender  offer  requirements.  The  discrepancies,
however,  were  necessary  to  comply  with the  Bankruptcy  Code and the  rules
promulgated  thereunder.  Further analysis of the requirements  under Rule 13e-4
have led the Company to conclude that the consent  solicitation is not an issuer
tender offer subject to Rule 13e-4. The fact that no securities will be actually
tendered in connection with the solicitation  supports the Company's  conclusion
that the solicitation is not subject to the tender offer rules.

         Because  the Company  does not believe the tender  offer rules apply to
this  solicitation,  it does not believe that the  requirements of Rule 13e-4 or
the  protections  afforded  thereunder  are  applicable  to  this  solicitation.
Nevertheless, as indicated in the Disclosure Statement, upon the commencement of
the bankruptcy  proceeding,  the Company  intends to request that the bankruptcy
court schedule a hearing to consider (i) approval of the Disclosure Statement as
having  contained  adequate  information,  (ii)  approval  of  the  solicitation
procedures as having been in compliance  with Section  1126(b) of the Bankruptcy
Code and (iii)  confirmation of the Prepackaged Plan pursuant to Section 1129 of
the Bankruptcy Code. Both  Debentureholders and stockholders will have the right
to file  objections to approval of the Disclosure  Statement,  the  solicitation
procedures or the  confirmation of the  Prepackaged  Plan, all of which would be
considered by the bankruptcy  court.  Under the Bankruptcy  Code, the bankruptcy
court is required to determine if the Disclosure  Statement  contained  adequate
information and if the  Prepackaged  Plan is fair and equitable to creditors and
equity holders. If the bankruptcy court determines that the Disclosure Statement
does not contain adequate information, the Company will be required to resolicit
consents to the Prepackaged Plan.

                                       3
<PAGE>


                                    SIGNATURE

         After due inquiry and to the best of my knowledge and belief, I certify
that the information set forth in this statement is true, complete and correct.

/s/Gary S.Gillheeney
----------------------------------------------------
(Signature)

Gary S. Gillheeney, Chief Financial Officer
----------------------------------------------------
(Name and title)

July 13, 2000
---------------------------
(Date)

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