TRINITY MEDICAL GROUP INC
SB-2, EX-4.6, 2000-10-20
COMMERCIAL PHYSICAL & BIOLOGICAL RESEARCH
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THIS NOTE HAS NOT BEEN  REGISTERED  UNDER THE SECURITIES ACT OF 1933, AS AMENDED
(THE  "ACT"),  OR  APPLICABLE  STATE  SECURITIES  LAWS,  AND  MAY  NOT BE  SOLD,
TRANSFERRED,  PLEDGED OR  HYPOTHECATED  IN THE ABSENCE OF SUCH  REGISTRATION  OR
RECEIPT  BY THE  COMPANY  OF AN  OPINION  OF  COUNSEL  (WHICH  COUNSEL  SHALL BE
REASONABLY  ACCEPTABLE  TO  THE  COMPANY)  IN  THE  FORM,  SUBSTANCE  AND  SCOPE
REASONABLY  SATISFACTORY TO THE COMPANY THAT THIS NOTE MAY BE SOLD, TRANSFERRED,
HYPOTHECATED  OR OTHERWISE  DISPOSED OF,  UNDER AN EXEMPTION  FROM  REGISTRATION
UNDER THE ACT AND SUCH STATE SECURITIES LAWS.

                           CONVERTIBLE PROMISSORY NOTE

$500,000                                                       October 19, 2000

                  For value received, the undersigned, TRINITY MEDICAL GROUP
USA, INC., a Florida corporation (the "Maker"), hereby unconditionally promises
to pay to the order of ROYCAP INC., a corporation organized under the laws of
Ontario, Canada (the "Holder"), at such place as the Holder may designate, the
principal sum of FIVE HUNDRED THOUSAND DOLLARS ($500,000) on the Maturity Date
(as such term is hereinafter defined), and to pay interest on the unpaid
principal amount of this Note, commencing from the date hereof, before and after
the Maturity Date and after any judgment until paid in full, at the rate of
eight percent (8%) per annum (computed on the basis of a year of 360 days for
the actual number of days elapsed) until paid in full, in accordance with this
Note. All payments hereunder shall be in lawful money of the United States and
in immediately available funds.

                  1. Interest. Interest on the outstanding principal amount
under this Note shall accrue, in arrears, at the rate set forth herein,
commencing from the date hereof and continuing until the earlier of (i) the
conversion of this Note in accordance with Section 7 hereof and (ii) the payment
in full of the outstanding principal amount of this Note. Accrued interest shall
be due and payable semi-annually, commencing on April 19, 2001 in cash or, at
the option of the Maker, converted into shares of the Maker's common stock, par
value $.001 per share (the "Common Stock") at the conversion price set forth in
Section 7 hereof. Upon the occurrence of an Event of Default (as such term is
hereinafter defined) under this Note, then to the extent permitted by applicable
law, interest shall accrue on the outstanding principal amount hereof from the
date of such Event of Default until payment in full at the rate of ten percent
(10%) per annum (calculated as aforesaid) and shall be payable on demand. In no
instance shall the interest on this Note exceed the maximum amount permitted by
applicable law.

                  2. Payment of Principal. At the Maturity Date, the outstanding
principal amount of this Note plus all accrued and unpaid interest herein shall
be due and payable in cash or, at the option of the Holder, converted into the
Maker's Common Stock at the conversion price per share of Common Stock set forth
in Section 7 hereof. Upon the conversion of this Note as

<PAGE>


provided in Section 7(a) hereof, the outstanding principal amount of this Note,
together with accrued interest hereon, shall be deemed to be the consideration
for the Holder's interest in the Common Stock on the Maturity Date. For purposes
of this Note, the term "Maturity Date" shall mean the earlier of (i) October 19,
2001; or (ii) the date on which the Note becomes immediately due and payable
pursuant to Section 6 hereof.

                  3. Warrant. On the date of conversion, the Maker shall have
issued to the Holder a warrant, substantially in the form attached hereto as
Attachment A (the "Warrant") to purchase such number of shares of the Maker's
Common Stock equal to aggregate number of shares of Common Stock issued upon
conversion of this Note. The Warrant shall have an exercise price equal to $4.00
per share of the Common Stock and shall have a term of five (5) years from its
date of issuance.

                  4. Covenants.

                     (a) The Maker covenants to register for resale by the
Holder 450,000 shares of Common Stock being an estimate of the number of shares
of Common Stock issuable upon conversion of this Note and upon exercise of the
Warrant on a registration statement (the "Registration Statement") which shall
be filed by the Maker with the Securities and Exchange Commission ("SEC") within
thirty (30) days of the date hereof. The Maker shall respond to all SEC comments
within five (5) business days of receipt of the SEC's comments and will use its
reasonable best efforts to cause the Registration Statement to be declared
effective by the SEC within ninety (90) days of the date hereof.

                     (b) The Maker shall keep the Registration Statement
continuously effective through November 19, 2001, and shall cause the related
prospectus to be amended or supplemented by a required prospectus supplement
pursuant to Rule 424 under the Securities Act of 1933, as amended. If the
Registration Statement is not filed within 30 days of the issuance of this Note
or if the Registration Statement is not declared effective within 120 days of
the issuance of this Note (each such failure being referred to as an
"Registration Event"), the Maker shall pay as liquidated damages and not as a
penalty to the Holder an amount equal to 2% of the purchase price of the Note
for each 30-day period until the applicable Registration Event has been cured.
The amount of the liquidated damages shall be prorated on a daily basis for
periods less than 30 days. The liquidated damages shall be paid within five (5)
business days of the end of each month during which the Registration Event has
occurred and is continuing.

                     (c) In the event that the number of shares of Common Stock
qualified by the Registration Statement are less than the number of shares of
Common stock issuable to the Holder upon conversion of this Note, the Holder may
require the Company to register the additional shares of Common Stock (the
"Shortfall Shares") and the Company shall, as promptly as practicable thereafter
but in no event later than ninety (90) days after the Holder makes its request,
file another Registration Statement (the "Additional Registration Statement")
with the SEC to register the Shortfall Shares and to use its best efforts to
have the Additional Registration Statement declared effective within one hundred
twenty (120) days thereafter. If the Additional Registration Statement is not
filed within 90 days of the date of delivery of a notice requiring the


                                      -2-

<PAGE>

Company to register the Shortfall Shares as provided herein or if the Additional
Registration Statement is not declared effective within 120 days of date of such
notice (each such failure being referred to as an "Event"), the Company shall
pay as liquidated damages and not as a penalty to the Holder an amount equal to
2% of the purchase price of the Note for each 30-day period until the applicable
Event has been cured. The amount of the liquidated damages shall be prorated on
a daily basis for periods less than 30 days. The liquidated damages shall be
paid within five (5) business days of the end of each month during which the
Event has occurred and is continuing.

                     (d) The Maker shall not (i) pledge any of its assets,
including licenses, to any third party or (ii) incur indebtedness with ranks
pari passu or senior to this Note.

                  5. Events of Default. The occurrence at any time of any one or
more of the following events shall constitute an "Event of Default" under this
Note: (a) the Maker's failure to pay principal of, interest on or other amount
when due under this Note, which failure remains unremedied for a period of ten
(10) days after the date such payment is due from the Maker; (b) failure of the
Maker to perform or default in the observance by the Maker of any of the Maker's
agreements, covenants and/or obligations set forth herein or in any other
agreement to which the Maker and the Holder are parties, or a material breach of
any of Maker's representations and warranties set forth herein or in any other
agreement, and such nonperformance or default continues for a period of ten (10)
days after receipt by Maker of written notice thereof from the Holder; (c) the
dissolution, liquidation or termination of legal existence of the Maker; (d) the
appointment of a receiver, trustee or similar official or agent to take charge
of or liquidate any property of assets of the Maker, or action by any court to
take jurisdiction of all or a substantial portion of the property or assets of
the Maker; (e) the sale of all or substantially all of the Maker's property or
assets; (f) a judgment shall be entered against the Maker involving a liability
of $500,000 or more and such judgment shall remain undischarged for a period of
30 days during which execution shall not be effectively stayed or such judgment
is not covered by insurance; or (g) the commencement of any proceeding by the
Maker or any other party under any provision of the Bankruptcy Code of the
United States, as now in existence or hereafter amended, or of any other
proceeding under any applicable federal or state law, now existing or hereafter
in effect, relating to bankruptcy, reorganization, insolvency, liquidation or
otherwise, for the relief of debtors or readjustment of indebtedness, by or
against Maker; provided, that with respect to any proceeding commenced against
the Maker such proceeding remains undismissed or unstayed for a period of 30
days, or any of the actions sought in such proceedings occur.

                  6. Effect of Default. Upon the occurrence of an Event of
Default, the outstanding principal amount of this Note together with accrued
interest hereon and any other amounts owing by the Maker to the Holder under
this Note or otherwise shall, upon written notice from the Holder to the Maker,
become immediately due and payable without presentment, demand, protest or
notice, all of which are hereby expressly unconditionally and irrevocably waived
by the Maker.

                  7. Conversion.


                                      -3-

<PAGE>

                     (a) Upon the election of the Holder to convert this Note as
provided in Section 2 hereof, the Holder shall give written notice of such
election to the Maker. From the date hereof through the Maturity Date, the Maker
at its option may require the Holder to convert this Note; provided, that the
(x) registration statement referred to in Section 4(a) hereof has been effective
for ninety (90) consecutive days and the Common Stock has had a closing bid
price equal to or greater than US$ 4.00 for the five (5) consecutive trading
days preceding the delivery of the conversion notice and (y) no Event of Default
has occurred and is continuing. The outstanding principal amount of this Note
plus all accrued and unpaid interest herein shall be converted into the Maker's
Common Stock at the conversion price equal to the lesser of (i) US $4.00 or (ii)
80% of the average closing bid price of the Common Stock for the ten consecutive
trading days preceding the conversion date, as reported on Bloomberg L.P.

                     (b) In connection with any conversion of this Note in
accordance with this Section 7, the Holder shall deliver to the Maker the
original version of this Note to be converted marked "Canceled", and
acknowledged by the Holder to be paid-in-full in exchange for certificate(s)
representing the shares of Common Stock issued in the name of the Holder and
determined in accordance with Section 7(a) hereof. The Maker shall deliver the
certificate(s) representing the shares of Common Stock to the Holder within
three (3) business days' of its receipt of the original version of this Note.

                     (c) Notwithstanding anything herein contained, if upon the
election of the Holder to convert this Note to Common Stock, the Holder is
entitled to more than 500,000 shares of Common Stock, the Maker may satisfy its
obligations to the Holder by delivery of 500,000 shares of Common Stock at the
time set out in this Note and contemporaneously therewith delivering to the
Holder a certified check in an amount equal to the full amount of principal and
interest owing pursuant to this Note less a credit for the value represented by
the 500,000 shares of Common Stock delivered to the Holder calculated based on
the formula for valuation set out in subsection 7(a) hereof.

                  8. Transfer. Subject to the limitations set forth on the
legend on this Note, this Note may be transferred, sold, pledged, hypothecated
or otherwise granted as security by the Holder. The obligations of the Maker
hereunder may not be assigned. This Note shall inure to the benefit of the
transferees, successors and assigns of the Holder of this Note and shall be
binding upon the successors of the Maker.

                  9. Replacement. Upon receipt by the Maker of a duly executed,
notarized and unsecured written statement from the Holder with respect to the
loss, theft or destruction of this Note (or any replacement hereof), and without
requiring an indemnity bond or other security, or, in the case of a mutilation
of this Note, upon surrender and cancellation of such Note, the Maker shall
issue a new Note, of like tenor and amount, in lieu of such lost, stolen,
destroyed or mutilated Note.

                  10. No Fractional Securities. The Maker shall not issue
fractional shares of

                                      -4-
<PAGE>

Common Stock issued upon conversion of this Note, but in lieu of any such
fractional shares of Common Stock, the Maker shall make cash payment therefor
upon the basis of the fair market value of the Common Stock issued on the
Maturity Date or conversion date.

                  11. Additional Representations and Warranties. The Maker
hereby represents and warrants to the Holder that (a) the execution, delivery
and performance of this Note, the issuance of the Warrant and the transactions
contemplated hereby and thereby have been, and the issuance of Common Stock upon
conversion of this Note or upon exercise of the Warrant, will be, duly
authorized by the Maker in accordance with all applicable corporate power and
authority; (b) this Note has been duly executed by the Maker; (c) this Note is,
and the Warrant when issued will be, the legal, valid and binding obligations of
the Company enforceable against the Company in accordance with their respective
terms; (d) the execution, delivery and performance of this Note, the issuance of
the Warrant and the consummation of the transactions contemplated hereby and
thereby (i) do not violate or contravene the certificate of incorporation or
by-laws of the Maker or any order or judgment to which the Maker is a party or
otherwise bound; or (ii) create a default under, or cause a termination or
acceleration of, any agreement, contract or other instrument to which the Maker
is a party or otherwise bound; and (e) the Maker has no indebtedness for
borrowed money and has not granted a security interest to any third party on any
of its assets.

                  12. Expenses. The Maker agrees to pay all costs and expenses
(including, without limitation, attorneys' fees and expenses) incurred by the
Holder in connection with any action, suit or proceeding arising out of or
relating to this Note, the Warrant or any of the transactions contemplated
hereby or thereby related hereto.

                  13. Waivers, etc. Failure by the Holder to insist upon the
strict performance by the Maker of any terms and provisions herein shall not be
deemed to be a waiver of any terms and provisions herein, and the Holder shall
retain the right thereafter to insist upon strict performance by the Maker of
any and all terms and provisions of this Note or any document securing the
repayment of this Note. The Maker waives diligence, demand, presentment for
payment, notice of nonpayment, protest and notice of protest, and notice of any
renewals or extensions of this Note. This Note may not be amended, modified or
waived except by an instrument in writing signed by the Maker and the Holder.

                  14. Governing Law. (a) This Note shall be governed by and
construed in accordance with the laws of the State of New York, without regard
to its conflicts of laws principles. This Note shall be interpreted and
construed without any presumption against the Holder by virtue of the Holder
being the party to cause this Note to be drafted.

                     (b) Any legal action or proceeding with respect to this
Note, the Warrant or any of the transactions contemplated hereby and thereby may
be brought in the courts of the State of New York or of the United States of
America for the Southern District of New York, and, by execution and delivery of
this Note, the Maker hereby unconditionally and irrevocably consents to the
personal jurisdiction of the aforesaid courts for itself and in respect of its
property, generally and unconditionally. The Maker hereby unconditionally and
irrevocably waives, in connection with any such action or proceeding brought in
the aforesaid courts, any


                                      -5-
<PAGE>

objection, including, without limitation, any objection to the laying of venue
or based on the grounds of forum non conveniens, which they may now or hereafter
have to the bringing of any such action or proceeding in such courts, and the
right to seek and/or obtain a trial by jury.

                  15. Headings. Section headings in this Note are included
herein for purposes of convenience of reference only and shall not constitute a
part of this Note for any other purpose or taken into account in connection with
the construction or interpretation of this Note.

                  IN WITNESS WHEREOF, the Maker has executed this Note as of the
date specified above.

                                                 TRINITY MEDICAL GROUP USA, INC.



                                                 By: /s/ James Namnath
                                                   -----------------------------
                                                   Name: James Namnath
                                                   Title: CEP


                                      -6-
<PAGE>
                                  ATTACHMENT A
                                  ------------

THE SALE AND ISSUANCE OF THE SECURITIES REPRESENTED BY THIS CERTIFICATE HAVE NOT
BEEN  REGISTERED  UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE  "SECURITIES
ACT"), OR UNDER THE SECURITIES LAW OF ANY STATE OR OTHER  JURISDICTION.  NEITHER
THIS  SECURITY NOR ANY INTEREST OR  PARTICIPATION  HEREIN MAY BE OFFERED,  SOLD,
ASSIGNED, TRANSFERRED,  PLEDGED, ENCUMBERED,  HYPOTHECATED OR OTHERWISE DISPOSED
OF, UNLESS PURSUANT TO AN EFFECTIVE  REGISTRATION STATEMENT UNDER THE SECURITIES
ACT OR PURSUANT TO A  TRANSACTION  THAT IS EXEMPT FROM,  OR NOT SUBJECT TO, SUCH
REGISTRATION UNDER THE SECURITIES ACT OR ANY APPLICABLE STATE SECURITIES LAWS.

                         TRINITY MEDICAL GROUP USA, INC.

                          COMMON STOCK PURCHASE WARRANT

         1. Issuance. In consideration of good and valuable  consideration,  the
receipt of which is hereby  acknowledged  by Trinity  Medical Group USA, Inc., a
Florida  corporation  (the  "Company"),  Roycap Inc.  (the  "Holder")  is hereby
granted the right to  purchase at any time until 5:00 P.M.,  New York City time,
on [5 years from conversion date] (the "Expiration Date"), ___________ shares of
the  Company's  Common  Stock,  par value $.001 per share (the  "Shares")  at an
initial exercise price of $4.00 per share (the "Exercise Price").

         2.  Exercise of Warrants.  This Warrant is  exercisable  in whole or in
part at the Exercise Price per share of Common Stock payable hereunder,  payable
in cash or by certified or official bank check.  Upon  surrender of this Warrant
Certificate  with the annexed  Notice of Exercise Form duly  executed,  together
with payment of the Exercise Price for the shares of Common Stock purchased, the
Holder shall be entitled to receive a certificate or certificates for the shares
of Common Stock so purchased.

         3.  Reservation of Shares.  The Company hereby agrees that at all times
during the term of this  Warrant  there  shall be  reserved  for  issuance  upon
exercise of this  Warrant  such number of shares of its Common Stock as shall be
required for issuance upon exercise of this Warrant (the "Warrant Shares").

         4.  Mutilation  or Loss of  Warrant.  Upon  receipt  by the  Company of
evidence  satisfactory  to it of the loss,  theft,  destruction or mutilation of
this  Warrant,  and (in the  case of  loss,  theft or  destruction)  receipt  of
reasonably  satisfactory  indemnification,  and (in the case of mutilation) upon
surrender and cancellation of this Warrant, the Company will execute and deliver
a new  Warrant of like tenor and date and any such lost,  stolen,  destroyed  or
mutilated Warrant shall thereupon become void.

         5. Rights of the Holder.  This Warrant is being issued to the Holder in
connection with a Subscription  Agreement dated October 19, 2000 from the Holder
to the Company and a Convertible  Promissory  Note,  dated October 19, 2000 (the
"Note") issued by the

<PAGE>

Company to the order of the Holder in the principal amount
of $500,000.  The Holder shall not, by virtue hereof,  be entitled to any rights
of a stockholder in the Company,  either at law or equity, and the rights of the
Holder are limited to those  expressed in this  Warrant and are not  enforceable
against the Company except to the extent set forth herein.

         6. Transfer to Comply with the Securities Act; Registration Rights.

            (a) This Warrant has not been registered under the Securities Act of
1933,  as amended  (the "Act") and has been issued to the Holder for  investment
and not with a view to the  distribution  of either the  Warrant or the  Warrant
Shares. Neither this Warrant nor any of the Warrant Shares or any other security
issued or  issuable  upon  exercise of this  Warrant  may be sold,  transferred,
pledged or  hypothecated in the absence of an effective  registration  statement
under the Act relating to such security or an opinion of counsel satisfactory to
the Company that  registration  is not required under the Act. Each  certificate
for the Warrant,  the Warrant Shares and any other  security  issued or issuable
upon exercise of this Warrant  shall  contain a legend on the face  thereof,  in
form and substance  satisfactory  to counsel for the Company,  setting forth the
restrictions on transfer contained in this Section.

            (b) The Company hereby grants to the Holder  piggyback  registration
rights with respect to the Warrant  Shares.  The Company  agrees to register the
Warrant  Shares within one hundred  twenty (120) days after the issuance of this
Warrant.  The  Company  shall  keep  the  registration   statement  continuously
effective  through November 19, 2001, and shall cause the related  prospectus to
be amended or supplemented by a required prospectus  supplement pursuant to Rule
424 under the Act. If the registration  statement is not filed within 30 days of
the  date of  issuance  of the  Note  or if the  registration  statement  is not
declared  effective  within  120 days of the  issuance  of the Note  (each  such
failure  being  referred to as an "Event"),  the Company shall pay as liquidated
damages and not as a penalty to the Holder an amount equal to 2% of the purchase
price of the Note for each 30-day  period  until the  applicable  Event has been
cured.  The amount of the liquidated  damages shall be prorated on a daily basis
for periods less than 30 days. The liquidated  damages shall be paid within five
(5)  business  days of the end of each month during which the Event has occurred
and is continuing.

            (c) Commencing on November 19, 2001 through the Expiration  Date and
so long as this Warrant remains outstanding,  the Holder may require the Company
to  register  the  Warrant  Shares,  and  the  Company  shall,  as  promptly  as
practicable  thereafter  but in no event  later than  ninety (90) days after the
Holder makes its request, file a registration  statement with the Securities and
Exchange  Commission to register the Warrant  Shares and to use its best efforts
to have such registration statement declared effective within one hundred twenty
(120) days thereafter. If the registration statement is not filed within 90 days
of the date of  delivery  of a notice  requiring  the  Company to  register  the
Warrant  Shares as  provided  herein  or if the  registration  statement  is not
declared  effective  within 120 days of date of such notice  (each such  failure
being  referred to as an "Event"),  the Company shall pay as liquidated  damages
and not as a penalty to the Holder an amount equal to 1% of the  purchase  price
of the Note for each 30-day  period until the  applicable  Event has been cured.
The amount of the  liquidated  damages  shall be  prorated  on a daily basis for
periods less than 30 days. The liquidated  damages shall be paid within five (5)
business  days of the end of each month  during which the Event has occurred and

                                      -2-

<PAGE>

is continuing.  The Company shall keep the registration  statement  continuously
effective  until the  earlier of (i) the date the  Holder has owned the  Warrant
Shares for one (1) year and (ii) thirty (30) days after the Expiration Date. The
Company shall keep the registration  statement  continuously effective until the
earlier of (i) the date the Holder has owned the Warrant Shares for one (1) year
and (ii) thirty (30) days after the Expiration Date.

            (d)  Provided  that a  registration  statement  with  respect to the
Warrant Shares is effective at the time notice pursuant to this subsection 6 (b)
is given to the Holder, the Company may upon five (5) days written notice to the
Holder  call this  Warrant  (the "Call  Notice")  at the  Exercise  Price if the
Company's  Common  Stock has traded at a closing  bid price  equal to or greater
than $12.00 per share for five (5)  consecutive  trading  days prior to the date
the Company calls this Warrant.  The rights and privileges  granted  pursuant to
this Warrant shall  terminate  thirty (30) days after the Call Notice is sent to
the Holder if this Warrant is not  exercised  during that  period.  In the event
this Warrant is not exercised during this thirty-day period,  this Warrant shall
expire.

         7.  Notices.  Any notice or other  communication  required or permitted
hereunder  shall be in writing and shall be delivered  personally,  telegraphed,
telexed,  sent by facsimile  transmission  or sent by  certified,  registered or
express mail,  postage  pre-paid.  Any such notice shall be deemed given when so
delivered personally,  telegraphed,  telexed or sent by facsimile  transmission,
or, if mailed, two days after the date of deposit in the United States mails, as
follows:

(1)      if to the Company, to:

                                    Trinity Medical Group USA, Inc.
                                    55 Shaver Street, Suite 320
                                    San Rafael, California 94901
                                    Attn: Chief Financial Officer

(2)      if to the Holder, to:

                                    RoyCap Inc.
                                    4100 Yonge Street
                                    Suite 504
                                    Toronto, Ontario M2P 2G2
                                    Attn:  Stephen Rider

Any party may be  notice  given in  accordance  with this  Section  to the other
parties designate another address or person for receipt of notices hereunder.

         8.  Supplements and Amendments;  Whole  Agreement.  This Warrant may be
amended or  supplemented  only by an instrument in writing signed by the parties
hereto. This Warrant of even date herewith contain the full understanding of the
parties  hereto with respect to the subject  matter hereof and thereof and there
are no  representations,  warranties,  agreements or  understandings  other than
expressly contained herein and therein.

                                      -3-
<PAGE>


         9.  Governing  Law.  This Warrant shall be deemed to be a contract made
under the laws of the State of New York and for all  purposes  shall be governed
by and  construed  in  accordance  with the  laws of such  State  applicable  to
contracts to be made and performed entirely within such State.

         10.  Counterparts.  This  Warrant  may be  executed  in any  number  of
counterparts and each of such  counterparts  shall for all purposes be deemed to
be an original,  and all such counterparts shall together constitute but one and
the same instrument.

         11. Descriptive Headings.  Descriptive headings of the several Sections
of this  Warrant  are  inserted  for  convenience  only and shall not control or
affect the meaning or construction of any of the provisions hereof.

         IN WITNESS WHEREOF, the parties hereto have executed this Warrant as of
the 19th day of October, 2000.


                                                 TRINITY MEDICAL GROUP USA, INC.



                                      By: /s/ James S. Namnath
                                         ---------------------------------------
                                          Name:  James S. Namnath
                                          Title: CEO




                                      -4-

<PAGE>


                          NOTICE OF EXERCISE OF WARRANT

         The Holder hereby irrevocably elects to exercise the right, represented
by the Warrant  Certificate  dated as of __________,  2000, to purchase  _______
shares of the Common Stock,  par value $4.00 per share, of Trinity Medical Group
USA,  Inc. and tenders  herewith  payment in  accordance  with Section 1 of said
Common Stock Purchase Warrant.

         Please deliver the stock certificate to:

         -----------------------------




Dated:______________________



                                                    By: _______________________
                                                    Name:  ____________________
                                                    Title: ____________________


                                      -5-


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