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U.S. SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the PublicUtility
Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940
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FORM 4 OMB APPROVAL
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[ ] CHECK THIS BOX IF NO LONGER OMB Number: 3235-0287
SUBJECT TO SECTION 16. FORM 4 Expires: September 30, 1998
OR FORM 5 OBLIGATIONS MAY Estimated average burden
CONTINUE. SEE INSTRUCTION 1(B). hours per response .... 0.5
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1. Name and Address of Reporting Person *
The LMR Family Trust
(Last) (First) (Middle)
Caledonian Bank & Trust Limited, Caledonian House, P.O. Box 1043
(Street)
Grand Cayman BWI
(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Balanced Care Corporation Symbol: BAL
3. IRS or Social Security Number of Reporting Person (Voluntary)
4. Statement of Month/Year
December 1999
5. If Amendment, Date or Original (Month/Year)
6. Relationship of Reporting Person to Issuer (Check all applicable)
Director X 10% Owner
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Officer (give title Other
----- below) ----- (specify
below)
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7. Individual or Join/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
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X Form filed by More than One Reporting Person
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TABLE I-- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
1. Title of Security 2. Transaction 3. Trans- 4. Securities Acquired (A) 5. Amount of 6. Owner- 7. Nature
(Instr. 3) Date action or Disposed of (D) Securities ship of In-
Code (Instr. 3, 4 and 5) Beneficially Form: direct
(Month/ (Instr. 8) Owned at Direct Bene-
Day/ ------------- ------------------------- End of (D) or ficial
Year) (A) Month Indirect Owner-
Code Amount or Price (Instr. 3 (I) ship
(D) and 4) (Instr. 4) (Instr. 4)
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Common Stock 12/21/99 P 3,855,892 D (2)
Common Stock 12/21/99 C 3,300,000 A $1.25 I (2)
Common Stock 12/21/99 J(1) 13,400,000 A $1.25 16,700,000 I (1)
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FORM 4 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
1. Title of Derivative 2. Conver- 3. Trans- 4. Transac- 5. Number of Deriv- 6. Date Exer-
Security (Instr. 3) sion or action tion Code ative Securities Ac- cisable and Ex-
Exercise Date (Instr. 8) quired (A) or Dis- piration Date
Price of posed of (D)
Deriv- (Month/ (Instr. 3, 4 and 5) (Month/Day/
ative Day/ Year)
Security Year)
Date Expira-
Code (A) (D) Exer- tion
cisable Date
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Series C Convertible Voting $1.25 12/21/99 C 3,300,000 (3)
Preferred Stock
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7. Title and Amount of 8. Price 9. Number 10. Owner- 11. Na-
Underlying Securities Deriv of Deriv- ship ture
ative ative Form of In-
(Instr. 3 and 4) Secur- Secur- of De- direct
ity ities rivative Bene-
(Instr. Bene Secu- ficial
5) ficially rity: Own-
Owned Direct ership
- -------------------------------------- at End (D) or (Instr. 4)
Amount or of Indi-
Title Number of Month rect (I)
Shares (Instr. 4) (Instr. 4)
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Common Stock 3,300,000 0 I (2)
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Explanation of Responses:
See page 3 attached.
**Intentional misstatements or omissions of facts constitute Federal Criminal
Violations. SEE 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed.
If space provided is insufficient, SEE Instruction 6 for procedure.
/s/ Robin L. Barber January 10, 2000
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**Signature of Reporting Person Date
By: Robin L. Barber
For: Caledonian Bank & Trust Limited
in its capacity as Trustee of The
LMR Family Trust
Potential persons who are to respond to the collection of information contained
in this form are not required to respond unless the form displays a currently
valid OMB number.
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Name and Address of Designated Filer: The LMR Family Trust
Caledonian Bank & Trust Limited
Caledonian House
P.O. Box 1043
Grand Cayman, BWI
Issuer Name and Ticker Symbol: Balanced Care Corporation -- BAL
Statement of Month/Year: 12/99
EXPLANATION OF RESPONSES
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(1) The Reporting Entities no longer have voting rights in connection with
these shares as the Voting Agreement terminated following the
occurrence of the Issuer's annual meeting of stockholders for 1999 held
on December 15, 1999.
(2) These shares are owned directly by IPC Advisors S.A.R.L. These shares
are owned indirectly by LMR Investments Limited, as the sole
shareholder of IPC Advisors S.A.R.L., by The LMR Family Trust, as the
sole shareholder of LMR Investments Limited, and by Caledonian Bank &
Trust Limited, as the trustee of The LMR Family Trust.
(3) Immediately.
Page 3 of 6
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Name and Address of Designated Filer: The LMR Family Trust
Caledonian Bank & Trust Limited
Caledonian House
P.O. Box 1043
Grand Cayman, BWI
Issuer Name and Ticker Symbol: Balanced Care Corporation-- BAL
Statement of Month/Year: 12/99
JOINT FILER INFORMATION
-----------------------
Name: IPC Advisors S.A.R.L.
Address: 38-40 Rue Sainte Zithe
L-2763 Luxembourg
Designated Filer: The LMR Family Trust
Issuer & Ticker Symbol: Balanced Care Corporation-- BAL
Date of Event Requiring Statement: December 21, 1999
Signature: ___________________________________
By: Robin L. Barber
For: J.B. Unsworth on behalf of IPC
Advisors S.A.R.L.
Page 4 of 6
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Name and Address of Designated Filer: The LMR Family Trust
Caledonian Bank & Trust Limited
Caledonian House
P.O. Box 1043
Grand Cayman, BWI
Issuer Name and Ticker Symbol: Balanced Care Corporation-- BAL
Statement of Month/Year: 12/99
JOINT FILER INFORMATION
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Name: LMR Investments Limited
Address: Coutts House West Bay Road
P.O. Box 707
Grand Cayman, BWI
Designated Filer: The LMR Family Trust
Issuer & Ticker Symbol: Balanced Care Corporation -- BAL
Date of Event Requiring Statement: December 21, 1999
Signature: ___________________________________
By: Robin L. Barber
For: J.B. Unsworth on behalf of LMR
Investments Limited
Page 5 of 6
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Name and Address of Designated Filer: The LMR Family Trust
Caledonian Bank & Trust Limited
Caledonian House
P.O. Box 1043
Grand Cayman, BWI
Issuer Name and Ticker Symbol: Balanced Care Corporation-- BAL
Statement of Month/Year: 12/99
JOINT FILER INFORMATION
-----------------------
Name: Caledonian Bank & Trust Limited
Address: Caledonian House
P.O. Box 1043
George Town, Grand Cayman
Cayman Islands
Designated Filer: The LMR Family Trust
Issuer & Ticker Symbol: Balanced Care Corporation-- BAL
Date of Event Requiring Statement: December 21, 1999
Signature: ___________________________________
By: Robin L. Barber
For: Caledonian Bank & Trust Limited
in its capacity as Trustee of The
LMR Family Trust
Page 6 of 6