<PAGE>
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13D
(Amendment No. 12)
Under the Securities Exchange Act of 1934
Forum Group, Inc.
- --------------------------------------------------------------------------------
(Name of Issuer)
Common Stock, Without Par Value
- --------------------------------------------------------------------------------
(Title of Class of Securities)
349841304
----------------
(CUSIP Number)
Forum Holdings, L.P.
4200 Texas Commerce Tower West
2200 Ross Ave.
Dallas, Texas 75201
Attention: Robert A. Whitman
(214) 220-4900
- --------------------------------------------------------------------------------
(Name, Address and Telephone Number of Person
Authorized to Receive Notices and Communications)
With a copy to:
Robert A. Profusek, Esq.
Jones, Day, Reavis & Pogue
599 Lexington Avenue
New York, New York
(212) 326-3939
December 20, 1994
------------------------------------------
(Date of Event which Requires Filing
of this Statement)
If the filing person has previously filed a statement on Schedule 13G to report
the acquisition which is the subject of this Schedule 13D, and is filing this
schedule because of Rule 13d-1(b)(3) or (4), check the following box [ ].
Check the following box if a fee is being paid with this statement [ ].
Page 1 of 23
Index to Exibits on Page 15
<PAGE>
SCHEDULE 13D
<TABLE>
<CAPTION>
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CUSIP NO. 349841304 PAGE 2 OF 23 PAGES
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=======================================================================================================
<S> <C> <C>
1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Forum Holdings, L.P.
- -------------------------------------------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP a[_]
b[X]
- -------------------------------------------------------------------------------------------------------
3 SEC USE ONLY
- -------------------------------------------------------------------------------------------------------
4 SOURCE OF FUNDS*
WC
- -------------------------------------------------------------------------------------------------------
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO
ITEMS
2(d) or (e) [_]
- -------------------------------------------------------------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION
Texas
- -------------------------------------------------------------------------------------------------------
7 SOLE VOTING POWER
0
NUMBERS OF -----------------------------------------------------------------------------------------
SHARES 8 SHARED VOTING POWER
BENEFICIAL 17,539,694
LY OWNED -----------------------------------------------------------------------------------------
BY EACH 9 SOLE DISPOSITIVE POWER
REPORTING 8,769,847
PERSON -----------------------------------------------------------------------------------------
WITH 10 SHARED DISPOSITIVE POWER
0
- -------------------------------------------------------------------------------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
17,539,694
- -------------------------------------------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* [X]
- -------------------------------------------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
75.2%
- -------------------------------------------------------------------------------------------------------
14 TYPE OF REPORTING PERSON*
PN
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</TABLE>
*SEE INSTRUCTIONS BEFORE FILLING OUT!
<PAGE>
SCHEDULE 13D
<TABLE>
<CAPTION>
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CUSIP NO. 349841304 PAGE 3 OF 23 PAGES
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====================================================================================================================
<S> <C> <C>
1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
HRP Management II, Ltd.
- --------------------------------------------------------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP a[_]
b[X]
- --------------------------------------------------------------------------------------------------------------------
3 SEC USE ONLY
- --------------------------------------------------------------------------------------------------------------------
4 SOURCE OF FUNDS*
00
- --------------------------------------------------------------------------------------------------------------------
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS
2(d) or (e) [_]
- --------------------------------------------------------------------------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION
Texas
- --------------------------------------------------------------------------------------------------------------------
7 SOLE VOTING POWER
0
NUMBERS OF ------------------------------------------------------------------------------------------------------
SHARES 8 SHARED VOTING POWER
BENEFICIAL 17,539,694
LY OWNED ------------------------------------------------------------------------------------------------------
BY EACH 9 SOLE DISPOSITIVE POWER
REPORTING 8,769,681
PERSON ------------------------------------------------------------------------------------------------------
WITH 10 SHARED DISPOSITIVE POWER
0
- --------------------------------------------------------------------------------------------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
17,539,694
- --------------------------------------------------------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* [X]
- --------------------------------------------------------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
75.2%
- --------------------------------------------------------------------------------------------------------------------
14 TYPE OF REPORTING PERSON*
PN
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</TABLE>
*SEE INSTRUCTIONS BEFORE FILLING OUT!
<PAGE>
SCHEDULE 13D
<TABLE>
<CAPTION>
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CUSIP NO. 349841304 PAGE 4 OF 23 PAGES
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====================================================================================================================
<S> <C> <C>
1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
HH Genpar Partners
- --------------------------------------------------------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP a[_]
b[X]
- --------------------------------------------------------------------------------------------------------------------
3 SEC USE ONLY
- --------------------------------------------------------------------------------------------------------------------
4 SOURCE OF FUNDS*
00
- --------------------------------------------------------------------------------------------------------------------
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS
2(d) or (e) [_]
- --------------------------------------------------------------------------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION
Texas
- --------------------------------------------------------------------------------------------------------------------
7 SOLE VOTING POWER
0
NUMBERS OF -----------------------------------------------------------------------------------------------
SHARES 8 SHARED VOTING POWER
BENEFICIAL 17,539,694
LY OWNED -----------------------------------------------------------------------------------------------
BY EACH 9 SOLE DISPOSITIVE POWER
REPORTING 8,769,681
PERSON -----------------------------------------------------------------------------------------------
WITH 10 SHARED DISPOSITIVE POWER
0
- --------------------------------------------------------------------------------------------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
17,539,694
- --------------------------------------------------------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* [X]
- --------------------------------------------------------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
75.2%
- --------------------------------------------------------------------------------------------------------------------
14 TYPE OF REPORTING PERSON
PN
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</TABLE>
*SEE INSTRUCTIONS BEFORE FILLING OUT!
<PAGE>
SCHEDULE 13D
<TABLE>
<CAPTION>
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CUSIP NO. 349841304 PAGE 5 OF 23 PAGES
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<S> <C> <C>
1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Hampstead Associates, Inc.
- --------------------------------------------------------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP a[_]
b[X]
- --------------------------------------------------------------------------------------------------------------------
3 SEC USE ONLY
- --------------------------------------------------------------------------------------------------------------------
4 SOURCE OF FUNDS*
00
- --------------------------------------------------------------------------------------------------------------------
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS
2(d) or (e) [_]
- --------------------------------------------------------------------------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION
Texas
- --------------------------------------------------------------------------------------------------------------------
7 SOLE VOTING POWER
0
NUMBERS OF ---------------------------------------------------------------------------------------------------
SHARES 8 SHARED VOTING POWER
BENEFICIAL 17,539,694
LY OWNED ---------------------------------------------------------------------------------------------------
BY EACH 9 SOLE DISPOSITIVE POWER
REPORTING 8,769,681
PERSON ---------------------------------------------------------------------------------------------------
WITH 10 SHARED DISPOSITIVE POWER
0
- --------------------------------------------------------------------------------------------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
17,539,694
- --------------------------------------------------------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* [X]
- --------------------------------------------------------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
75.2%
- --------------------------------------------------------------------------------------------------------------------
14 TYPE OF REPORTING PERSON*
CO
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</TABLE>
*SEE INSTRUCTIONS BEFORE FILLING OUT!
<PAGE>
SCHEDULE 13D
<TABLE>
<CAPTION>
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CUSIP NO. 349841304 PAGE 6 OF 23 PAGES
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<S> <C> <C>
1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
RAW Genpar, Inc.
- ----------------------------------------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP a [_]
b [x]
- ----------------------------------------------------------------------------------------------------
3 SEC USE ONLY
- ----------------------------------------------------------------------------------------------------
4 SOURCE OF FUNDS*
00
- ----------------------------------------------------------------------------------------------------
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS
2(d) or (e) [_]
- ----------------------------------------------------------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION
Texas
- ----------------------------------------------------------------------------------------------------
7 SOLE VOTING POWER
0
NUMBERS OF -----------------------------------------------------------------------------------------
SHARES 8 SHARED VOTING POWER
BENEFICIAL 17,539,694
LY OWNED -----------------------------------------------------------------------------------------
BY EACH 9 SOLE DISPOSITIVE POWER
REPORTING 8,769,681
PERSON -----------------------------------------------------------------------------------------
WITH 10 SHARED DISPOSITIVE POWER
0
- ----------------------------------------------------------------------------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
17,539,694
- ----------------------------------------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* [x]
- ----------------------------------------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
75.2%
- ----------------------------------------------------------------------------------------------------
14 TYPE OF REPORTING PERSON*
CO
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</TABLE>
*SEE INSTRUCTIONS BEFORE FILLING OUT!
<PAGE>
SCHEDULE 13D
<TABLE>
<CAPTION>
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CUSIP NO. 349841304 PAGE 7 OF 23 PAGES
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<S> <C> <C>
1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
InCap, Inc.
- ----------------------------------------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP a [_]
b [x]
- ----------------------------------------------------------------------------------------------------
3 SEC USE ONLY
- ----------------------------------------------------------------------------------------------------
4 SOURCE OF FUNDS*
00
- ----------------------------------------------------------------------------------------------------
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS
2(d) or (e) [_]
- ----------------------------------------------------------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION
Texas
- ----------------------------------------------------------------------------------------------------
7 SOLE VOTING POWER
0
NUMBERS OF -----------------------------------------------------------------------------------------
SHARES 8 SHARED VOTING POWER
BENEFICIAL 17,539,694
LY OWNED -----------------------------------------------------------------------------------------
BY EACH 9 SOLE DISPOSITIVE POWER
REPORTING 8,769,681
PERSON -----------------------------------------------------------------------------------------
WITH 10 SHARED DISPOSITIVE POWER
0
- ----------------------------------------------------------------------------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
17,539,694
- ----------------------------------------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* [_]
- ----------------------------------------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
75.2%
- ----------------------------------------------------------------------------------------------------
14 TYPE OF REPORTING PERSON*
CO
=====================================================================================================
</TABLE>
*SEE INSTRUCTIONS BEFORE FILLING OUT!
<PAGE>
This Amendment No. 12 amends and supplements the Statement on Schedule 13D
filed on February 11, 1993 (as heretofore amended and supplemented, the
"Schedule 13D"), by Forum Holdings, L.P., a Texas limited partnership, and
Investors Genpar,Inc., a Delaware corporation. Capitalized terms used herein
which are not otherwise defined herein are so used with the respective meanings
ascribed to them in the Schedule 13D.
Item 3. Source and Amount of Funds or Other Consideration.
-------------------------------------------------
Item 3 is hereby amended by adding the following immediately prior to the
last paragraph thereof:
On December 20, 1994, Forum Holdings and AFG entered into an agreement
(the "Warrant Purchase Agreement") to purchase from Citicorp USA, Inc.
("Citicorp") (i) 550,205 warrants (the "Warrants") issued by the Company
pursuant to a Warrant Agreement, dated as of June 10, 1993 (the "Warrant
Agreement"), by and between the Company and Citicorp, entitling the
registered holder thereof to purchase from the Company 1.00060393564 shares
of Common Stock (subject to adjustment) per Warrant on the terms and
subject to the conditions provided in the Warrant Agreement and (ii)
149,607 special warrants (the "Special Warrants") issued by the Company
pursuant to the Warrant Agreement, entitling the registered holder thereof
to purchase from the Company one share of Common Stock per Special Warrant
on the terms and subject to the conditions provided in the Warrant
Agreement. The Warrants are exercisable at a purchase price equal to $3.37
per share (subject to adjustment), and the Special Warrants are exercisable
at a nominal purchase price.
Pursuant to the Warrant Purchase Agreement, Forum Holdings
individually agreed to purchase 275,103 Warrants entitling the registered
holder thereof to purchase 275,269 shares of Common Stock and 74,803
Special Warrants entitling the registered holder thereof to purchase from
the Company an equal number of shares of Common Stock for $1,434,235.09.
The funds required by Forum Holdings for the transaction were obtained from
working capital of Forum Holdings. Pursuant to the Warrant Purchase
Agreement, AFG agreed to purchase the remaining Warrants and Special
Warrants from Citicorp.
Item 4. Purpose of Transaction.
----------------------
Item 4 is hereby amended by adding the following at the end of the second
paragraph thereof:
Forum Holdings' principal purpose for the purchase of Warrants and Special
Warrants pursuant to the Warrant Purchase Agreement was to take advantage
of what it perceived as an attractive investment opportunity pursuant
-8-
<PAGE>
to which it would be able to increase its equity interest in the Company.
Item 5. Interest in Securities of the Issuer.
------------------------------------
Item 5 is hereby amended and restated in its entirety as follows:
The responses to Items 3, 4 and 6 are incorporated herein by this
reference.
Forum Holdings has previously been informed that 4,984 shares of
Common Stock have been issued pursuant to the Plan of Reorganization since
the closing of Forum Holdings' initial investment in shares of Common
Stock. As a result of the issuance of such shares, Forum Holdings and AFG
are each presently entitled to purchase 2,880 shares of Common Stock for
nominal consideration upon exercise of the Investor Warrants. Forum
Holdings has also been informed that immediately following transactions
contemplated by the Warrant Purchase Agreement, AFG beneficially owned
8,769,847 shares of Common Stock (including (i) 2,880 shares presently
purchasable upon exercise of Investor Warrants, (ii) 275,268 shares
presently purchasable upon exercise of Warrants, and (iii) 74,804 shares
presently purchasable upon exercise of Special Warrants), or 37.6% of the
total number of shares of Common Stock then outstanding. Immediately
following such transactions, Forum Holdings was the direct beneficial owner
of 8,769,847 shares of Common Stock (including (i) 2,880 shares presently
purchasable upon exercise of the Investor Warrant, (ii) 275,269 shares
presently purchasable upon exercise of Warrants, and (iii) 74,803 shares
presently purchasable upon exercise of Special Warrants), or 37.6% of the
total number of shares of Common Stock then outstanding. By reason of the
relationships described in Item 2 above, each of the Reporting Persons may
be deemed to be the beneficial owners of all such shares beneficially owned
by Forum Holdings. As a result of the Shareholders' Agreement, Forum
Holdings and each of the other Reporting Persons may be deemed to be the
beneficial owner of all of the 17,539,694 shares of Common Stock
beneficially owned by Forum Holdings and AFG in the aggregate following the
transactions contemplated by the Warrant Purchase Agreement, or 75.2% of
the total number of shares of Common Stock then outstanding. The foregoing
percentages are based upon 23,331,509 shares of Common Stock outstanding
(which number includes (i) the 5,760 shares presently issuable upon
exercise of the Investor Warrants, (ii) the 550,537 shares presently
issuable upon exercise of Warrants, and (iii) the 275,103 shares presently
issuable upon exercise of Special Warrants). (Reference is made to such
statements on Schedule 13D as have been or may be filed with the Securities
and Exchange Commission by AFG for information regarding AFG and its
ownership of shares of Common Stock.)
-9-
<PAGE>
As a result of provisions of the Shareholders' Agreement described in
Item 6, the Reporting Persons may be deemed to have shared power to vote or
direct the vote of all of the 17,539,694 shares of Common Stock owned by
Forum Holdings and AFG. The Reporting Persons have sole power to dispose or
direct the disposition of 8,769,847 shares of Common Stock.
Except as otherwise disclosed in this Statement, as amended and
supplemented, the Reporting Persons disclaim beneficial ownership of any
shares of Common Stock issuable upon exercise of any Investor Warrants,
Warrants or Special Warrants.
Except as otherwise disclosed in this Statement, as amended and
supplemented, none of the Reporting Persons has effected any transactions
in shares of Common Stock during the preceding 60 days.
Item 6. Contracts, Arrangements, Understandings or Relationships
With Respect to Securities of the Issuer
--------------------------------------------------------
Item 6 is hereby amended by deleting the last paragraph thereof in its
entirety and substituting the following two paragraphs therefor:
Pursuant to the Warrant Purchase Agreement, Citicorp assigned its
rights under the Warrant Agreement to Forum Holdings and AFG, and each of
Forum Holdings and AFG has consented to and agreed to be bound by the
provisions of the Warrant Agreement. The Warrant Agreement provides for
adjustments to the number and kind of securities issuable and the purchase
price payable upon exercise of the Warrants upon the occurrence of certain
events. The Warrant Agreement also provides that holders of shares of
Common Stock issued upon exercise of the Warrants and the Special Warrants
will have certain piggyback registration rights with respect to such
shares.
The foregoing response to this Item 6 is qualified in its entirety by
reference to the Registration Rights Agreement, the Shareholders' Agreement
and the Warrant Agreement, the full texts of which are filed as Exhibits
10, 11 and 16, respectively, hereto and incorporated herein by this
reference.
-10-
<PAGE>
Item 7. Material to be Filed as Exhibits.
--------------------------------
Exhibit 1 - Stock Purchase Agreement*
Exhibit 2 - Agreement in Principle*
Exhibit 3 - April 13th Letter Agreement*
Exhibit 4 - April 18th Letter Agreement*
Exhibit 5 - Acquisition Agreement*
Exhibit 6 - June 4th Ruling*
Exhibit 7 - June 6th Agreement*
Exhibit 8 - June 14th Agreement*
Exhibit 9 - Forum Holdings Warrant*
Exhibit 10 - Registration Rights Agreement*
Exhibit 11 - Shareholders' Agreement*
Exhibit 12 - Powers of Attorney*
Exhibit 13 - October Stock Purchase Agreement*
Exhibit 14 - Purchase Agreement and Waiver with
Healthcare*
Exhibit 15 - Warrant Purchase Agreement
Exhibit 16 - Warrant Agreement (incorporated by
reference to Exhibit 4(3) to the Company's
Form 10-K Annual Report for the fiscal
year ended March 31, 1993)
- --------------------
* Previously filed.
-11-
<PAGE>
SIGNATURES
After reasonable inquiry and to the best of its knowledge and belief, the
undersigned certifies that the information set forth in this statement is true,
complete and correct and agrees that this statement may be filed collectively
with HRP Management II, Ltd., HH Genpar Partners, Hampstead Associates, Inc.,
RAW Genpar, Inc. and InCap, Inc.
Dated: December 21, 1994.
FORUM HOLDINGS, L.P.
By: /s/ Troy B. Lewis
-----------------------
Troy B. Lewis,
Attorney-in-Fact*
After reasonable inquiry and to the best of its knowledge and belief,
the undersigned certifies that the information set forth in this statement is
true, complete and correct and agrees that this statement may be filed
collectively with Forum Holdings, L.P., HH Genpar Partners, Hampstead
Associates, Inc., RAW Genpar, Inc. and InCap, Inc.
Dated: December 21, 1994.
HRP MANAGEMENT II, LTD.
By: /s/ Troy B. Lewis
-----------------------
Troy B. Lewis,
Attorney-in-Fact**
- ----------------------
* Pursuant to a Power of Attorney executed on behalf of Forum Holdings, L.P.
and filed previously as Exhibit 12 hereto.
** Pursuant to a Power of Attorney executed on behalf of HRP Management II,
Ltd. and filed previously as Exhibit 12 hereto.
-12-
<PAGE>
After reasonable inquiry and to the best of its knowledge and belief,
the undersigned certifies that the information set forth in this statement is
true, complete and correct and agrees that this statement may be filed
collectively with Forum Holdings, L.P., HRP Management II, Ltd., Hampstead
Associates, Inc., RAW Genpar, Inc. and InCap, Inc.
Dated: December 21, 1994.
HH GENPAR PARTNERS
By: /s/ Troy B. Lewis
-----------------
Troy B. Lewis,
Attorney-in-Fact/*/
After reasonable inquiry and to the best of its knowledge and belief,
the undersigned certifies that the information set forth in this statement is
true, complete and correct and agrees that this statement may be filed
collectively with Forum Holdings, L.P., HRP Management II, Ltd., HH Genpar
Partners, RAW Genpar, Inc. and InCap, Inc.
Dated: December 21, 1994.
HAMPSTEAD ASSOCIATES, INC.
By: /s/ Troy B. Lewis
-----------------
Troy B. Lewis,
Attorney-in-Fact/**/
______________________
/*/ Pursuant to a Power of Attorney executed on behalf of HH Genpar Partners
and filed previously as Exhibit 12 hereto.
/**/ Pursuant to a Power of Attorney executed on behalf of Hampstead
Associates,Inc. and filed previously as Exhibit 12 hereto.
-13-
<PAGE>
After reasonable inquiry and to the best of its knowledge and belief,
the undersigned certifies that the information set forth in this statement is
true, complete and correct and agrees that this statement may be filed
collectively with Forum Holdings, L.P., HRP Management II, Ltd., HH Genpar
Partners, Hampstead Associates, Inc. and InCap, Inc.
Dated: December 21, 1994.
RAW GENPAR, INC.
By: /s/ Troy B. Lewis
-----------------
Troy B. Lewis,
Attorney-in-Fact/*/
After reasonable inquiry and to the best of its knowledge and belief,
the undersigned certifies that the information set forth in this statement is
true, complete and correct and agrees that this statement may be filed
collectively with Forum Holdings, L.P., HRP Management II, Ltd., HH Genpar
Partners, Hampstead Associates, Inc. and RAW Genpar, Inc.
Dated: December 21, 1994.
INCAP, INC.
By: /s/ Troy B. Lewis
-------------------
Troy B. Lewis,
Attorney-in-Fact/**/
- ---------------------
/*/ Pursuant to a Power of Attorney executed on behalf of RAW Genpar, Inc. and
filed previously as Exhibit 12 hereto.
/**/ Pursuant to a Power of Attorney executed on behalf of InCap, Inc. and
filed previously as Exhibit 12 hereto.
-14-
<PAGE>
INDEX TO EXHIBITS
-----------------
<TABLE>
<CAPTION>
Pagination
by Sequential
Numbering
Exhibit Description System
- ------- ----------- -------------
<C> <S> <C>
1 Stock Purchase Agreement *
2 Agreement in Principle *
3 April 13th Letter Agreement *
4 April 18th Letter Agreement *
5 Acquisition Agreement *
6 June 4th Ruling *
7 June 6th Agreement *
8 June 14th Agreement *
9 Forum Holdings Warrant *
10 Registration Rights Agreement *
11 Shareholders' Agreement *
12 Powers of Attorney *
13 October Stock Purchase *
Agreement
14 Purchase Agreement and Waiver *
with Healthcare
15 Warrant Purchase Agreement 16
16 Warrant Agreement N/A
(incorporated by reference to
Exhibit 4(3) to the Company's
Form 10-K Annual Report for
the fiscal year ended
March 31, 1993)
</TABLE>
- --------------------
* Previously filed.
-15-
<PAGE>
EXHIBIT 15
----------
WARRANT PURCHASE AGREEMENT
-16-
<PAGE>
PURCHASE AGREEMENT
------------------
This Purchase Agreement (this "Agreement") is made and entered into as of
December 20, 1994, by and among Citicorp USA, Inc. ("Seller"), Forum Holdings,
L.P. ("Holdings") and Apollo FG Partners, L.P. ("Apollo" and, collectively with
Holdings, "Purchasers").
RECITALS:
--------
A. Seller owns (1) 550,205 warrants ("Forum Warrants") issued by Forum
Group, Inc. ("Forum") pursuant to a Warrant Agreement, dated as of June 10, 1993
(the "Warrant Agreement"), by and between Seller and Forum, presently entitling
the registered holder thereof to purchase from Forum 1.00060393564 shares
(subject to adjustment) of Common Stock of Forum ("Forum Common Shares") per
Forum Warrant on the terms and subject to the conditions provided in the Warrant
Agreement and (2) 149,607 special warrants ("Forum Special Warrants") issued by
Forum pursuant to the Warrant Agreement, entitling the registered holder thereof
to purchase from Forum one Forum Common Share per Forum Special Warrant on the
terms and subject to the conditions provided in the Warrant Agreement.
B. Seller desires to sell to Holdings, and Holdings desires to purchase
from Seller, 275,103 Forum Warrants presently entitling the registered holder
thereof to purchase 275,269 Forum Common Shares and 74,803 Forum Special
Warrants entitling the registered holder thereof to purchase an equal number of
Forum Common Shares (such Forum Warrants and Forum Special Warrants being
hereinafter collectively referred to as the "Holdings Warrants") for an
aggregate purchase price of $1,434,235.09 (the "Holdings Purchase Price").
C. Seller desires to sell to Apollo, and Apollo desires to purchase from
Seller, 275,102 Forum Warrants presently entitling the registered holder thereof
to purchase 275,268 Forum Common Shares and 74,804 Forum Special Warrants
entitling the registered holder thereof to purchase an equal number of Forum
Common Shares (such Forum Warrants and Forum Special Warrants being hereinafter
collectively referred to as the "Apollo Warrants") for an aggregate purchase
price of $1,434,238.45 (the "Apollo Purchase Price").
NOW, THEREFORE, Seller and Purchasers hereby agree as follows:
1. Purchase and Sale. (a) Simultaneously with the execution and delivery
-----------------
hereof, (i) Seller will sell, assign and transfer to Holdings, and Holdings will
purchase and accept from Seller, the Holdings Warrants and (ii) Seller will
sell, assign
-17-
<PAGE>
and transfer to Apollo, and Apollo will purchase and accept from Seller to
Apollo Warrants. (The Holdings Warrants and the Apollo Warrants are sometimes
hereinafter collectively referred to as the "Purchased Warrants.")
(b) Simultaneously with the execution and delivery hereof, Seller
will deliver to Daniel A. Decker, as agent for Purchasers, the warrant
certificates representing the Purchased Warrants, accompanied by an assignment
in the form attached hereto as Exhibit A duly signed on behalf of Seller (with
---------
such signature either (i) guaranteed by a bank or trust company or a broker or
dealer that is a member of the National Association of Securities Dealers, Inc.
or (ii) accompanied by an incumbency certificate in form and substance
reasonably satisfactory to Purchasers).
(c) Simultaneously with the execution and delivery hereof, Holdings
will pay to Seller an amount equal to the Holdings Purchase Price by means of a
wire transfer made in accordance with the instructions attached hereto as
Exhibit B.
- ---------
(d) Simultaneously with the execution and delivery hereof, Apollo
will pay to Seller an amount equal to the Apollo Purchase Price by means of a
wire transfer made in accordance with the instructions attached hereto as
Exhibit B.
- ---------
2. Certain Representations. (a) Seller represents to Purchasers that (i)
-----------------------
it has all right, title and interest in and to the Purchased Warrants, free and
clear of all liens, claims and encumbrances (other than restrictions set forth
in the Warrant Agreement and applicable federal and state securities laws), (ii)
this Agreement has been duly authorized by all necessary corporate action on the
part of Seller and constitutes the legal, valid and binding obligation of
Seller, and (iii) the execution, delivery and performance of this Agreement by
Seller does not (with or without the giving of notice, the passage of time or
both) conflict with or constitute a breach of any obligation of Seller.
(b) Each Purchaser represents to Seller that (i) this Agreement has
been duly authorized by all necessary partnership action on the part of such
Purchaser and constitutes a legal, valid and binding obligation of such
Purchaser and (ii) the execution, delivery and performance of this Agreement by
such Purchaser does not (with or without the giving of notice, the passage of
time or both) conflict with or constitute a breach of any obligation of such
Purchaser.
3. Assignment of Rights. Seller hereby assigns to each Purchaser all its
--------------------
rights, title and interest in and to the Warrant Agreement to the extent that
the Warrant Agreement relates to the respective portion of the Purchased
Warrants being purchased hereunder by such Purchaser and, in connection
-18-
<PAGE>
therewith, each Purchaser hereby consents to and agrees to be bound by the
provisions of the Warrant Agreement.
4. Parties' Knowledge and Sophistication. Each of the parties hereto
-------------------------------------
represents that it has such general knowledge and experience in financial and
business matters that it is capable of evaluating the risks and merits of an
investment in Forum Warrants and Forum Special Warrants. Each of the parties
hereto acknowledges that it has either been supplied with or has had access to
information, and has had the opportunity to ask questions and receive answers
from Forum's management, concerning Forum and its business and Forum Warrants
and Forum Special Warrants as it has deemed appropriate in connection with the
transactions contemplated hereby.
5. Manner of Sale. Each of Purchasers understands that the Purchased
--------------
Warrants (a) are not being registered or qualified under federal or state
securities laws and (b) cannot be sold, transferred or otherwise disposed of
unless subsequently registered or exempt from registration under such laws.
Each Purchaser represents that it is purchasing the respective portion of the
Purchased Warrants being purchased hereunder by it for its own account and for
investment purposes and not with a view to resale or other distribution thereof
in violation of the federal or state securities laws.
6. Miscellaneous. This Agreement (a) contains the parties' entire
-------------
agreement regarding the transactions contemplated hereby and supersedes all
prior agreements with respect to such matters and is not intended to confer upon
any other person or entity (other than Forum which is expressly intended to be a
third-party beneficiary of the provisions of Section 3 hereof) any rights or
remedies hereunder, (b) will be governed by and construed in accordance with the
laws of the State of New York without regard to the principles of conflict of
laws, and (c) may be executed in any number of counterparts, each of which will
be deemed to be an original but all of which together will constitute but one
agreement.
-19-
<PAGE>
IN WITNESS WHEREOF, the parties hereto have duly executed this Agreement as
of the date first above written.
CITICORP USA, INC.
By: /s/ Barbara A. Cohen
--------------------------
Barbara A. Cohen
Vice President
FORUM HOLDINGS, L.P.
By: HRP Management II, Ltd.,
its General Partner
By: HH Genpar Partners,
its General Partner
By: Hampstead Associates,
Inc., its Managing General
Partner
By: /s/ Daniel A. Decker
--------------------------
Daniel A. Decker
Executive Vice President
APOLLO FG PARTNERS, L.P.
By: Apollo Investment Fund,
L.P., its General Partner
By: Apollo Capital Management,
Inc., its General Partner
By: /s/ Peter Copses
--------------------------
Peter Copses
Vice President
-20-
<PAGE>
The undersigned, Forum Group, Inc., hereby (i) consents to the assignment
provided for in Section 3 of this Agreement and acknowledges that the consent
and agreement of Purchasers to be bound by the provisions of the Warrant
Agreement is satisfactory to Forum for purposes of Section 2.2. of the Warrant
Agreement and (ii) waives any requirement under the Warrant Agreement that an
opinion of counsel be furnished to Forum in connection with the transactions
contemplated hereby.
FORUM GROUP, INC.
By: /s/ John H. Sharpe
--------------------------
John H. Sharpe
Vice President
-21-
<PAGE>
EXHIBIT A
---------
ASSIGNMENT OF WARRANTS
----------------------
For value received, Citicorp USA, Inc. ("Citicorp") hereby sells,
assigns and transfers to Forum Holdings, L.P. and Apollo FG partners, L.P., or
their respective nominees, (a) 550,205 warrants ("Warrants") issued by Forum
Group, Inc., an Indiana corporation (the "Corporation"), in the name of
Citicorp, pursuant to a Warrant Agreement, dated as of June 10, 1993 (the
"Warrant Agreement"), by and between Citicorp and the Corporation, presently
entitling the registered holder thereof to purchase from Forum 1.00060393564
shares (subject to adjustment) of Common Stock, without par value, of the
Corporation ("Forum Common Shares") per Warrant on the terms and subject to the
conditions provided in the Warrant Agreement as follows: (i) to Holdings or its
nominee, 275,103 Warrants entitling the registered holder thereof to purchase
from Forum 275,268 Forum Common Shares and (ii) to Apollo or its nominee,
275,102 Warrants entitling the registered holder thereof to purchase from Forum
275,267 Forum Common Shares; and (b) 149,607 special warrants ("Special
Warrants") issued by Forum in the name of Citicorp pursuant to the Warrant
Agreement entitling the registered holder thereof to purchase from Forum one
Forum Common Share per Special Warrant on the terms and subject to the
conditions provided in the Warrant Agreement as follows: (i) to Holdings or its
nominee, 74,803 Special Warrants entitling the registered holder thereof to
acquire an equal number of Forum Common Shares and (ii) to Apollo or its
nominee, 74,804 Special Warrants entitling the registered holder thereof to
acquire an equal number of Forum Common Shares; such Warrants standing in
Citicorp's name on the books of the Corporation represented by Warrant
Certificates No. 1 herewith and such Special Warrants standing in Citicorp's
name on the books of the Corporation represented by Special Warrant Certificate
No. 1 herewith, and do hereby irrevocably constitute and appoint
_______________________________________________________________________,
attorney to transfer such Warrants and Special Warrants on the books of the
Corporation with full power of substitution.
Dated: December __, 1994
CITICORP USA, INC.
By: _________________________________
Name: ___________________________
Title: __________________________
<PAGE>
EXHIBIT B
---------
WIRE TRANSFER INSTRUCTIONS
--------------------------
Citibank, N.A.
399 Park Avenue
New York, New York
ABA Number: 021000089
For credit to Dallas Receipts Account
Account Number 3846-0803
Attention: Barbara Solimeno
Reference: Forum Warrant Sale
