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OMB APPROVAL
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OMB Number 3235-0104
Expires: September 30, 1998
Estimated average burden
hours per response ....... 0.5
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U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 3
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934,
Section 17(a) of the Public Utility Holding Company Act of 1935 or
Section 30(f) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Dime Capital Partners, Inc.
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(Last) (First) (Middle)
1401 Valley Road
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(Street)
Wayne NJ 07470
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(City) (State) (Zip)
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2. Date of Event Requiring Statement (Month/Day/Year)
2/15/00
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3. IRS or Social Security Number of Reporting Person (Voluntary)
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4. Issuer Name and Ticker or Trading Symbol
ImageMax, Inc. - IMAG
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5 Relationship of Reporting Person to Issuer
(Check all applicable)
[ ] Director [X] 10% Owner
[ ] Officer (give title below) [ ] Other (specify below)
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6. If Amendment, Date of Original (Month/Year)
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7. Invidividual or Joint Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
__ Form filed by More than One Reporting Person
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Table I -- Non-Derivative Securities Beneficially Owned
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<TABLE>
<CAPTION>
3. Ownership Form:
2. Amount of Securities Direct (D) or
1. Title of Security Beneficially Owned Indirect (I) 4. Nature of Indirect Beneficial Ownership
(Instr. 4) (Instr. 4) (Instr. 5) (Instr.5)
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<S> <C> <C> <C>
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</TABLE>
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
(Print or Type Responses)
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FORM 3 (continued)
Table II -- Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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<TABLE>
<CAPTION>
5. Owner-
3. Title and Amount of Securities ship
Underlying Derivative Security Form of
2. Date Exercisable (Instr. 4) Derivative
and Expiration Date --------------------------------- 4. Conver- Security:
(Month/Day/Year) Amount sion or Direct 6. Nature of
---------------------- or Exercise (D) or Indirect
Date Expira- Number Price of Indirect Beneficial
1. Title of Security Exer- tion of Derivative (I) Ownership
(Instr. 4) cisable Date Title Shares Security (Instr.5) (Instr. 5)
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<S> <C> <C> <C> <C> <C> <C> <C>
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9% Convertible Subordinated
Promissory Note 2/15/00(1) Common Stock 1,228,571(2) $3.50 D
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</TABLE>
Explanation of Responses:
(1) The outstanding principal and accrued interest owed to Dime Capital
Partners, Inc. under the 9% Subordinated Convertible Promissory Note (the
"Note") may be converted into shares of common stock, no par value ("Common
Stock"), of ImageMax, Inc. at a price of $3.50 per share at any time prior
to repayment of all amounts due under the Note.
(2) Dime Capital Partners, Inc. is the holder of the Note. Pursuant to the
express terms of the Note, Dime Capital Partners, Inc. has the right to
acquire 1,228,571 shares of Common Stock of ImageMax, Inc. upon conversion
of the principal amount of the Note at the conversion price of $3.50 per
share. As a result, Dime Capital Partners, Inc. is the beneficial owner (as
defined in Rule 13d-3(a) of the Securities Exchange Act of 1934, as
amended) of 1,228,571 shares of Common Stock of ImageMax, Inc.
Dime Capital Partners, Inc.
By: /s/Stephen M. Lane April 13, 2000
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**Signature of Reporting Person Date
Stephen M. Lane, President
** 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.
