INTERWEST MEDICAL CORP
SC 13D, 1998-10-09
SKILLED NURSING CARE FACILITIES
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                                  UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549



                                  SCHEDULE 13D

                    Under the Securities Exchange Act of 1934
                               (Amendment No. 1)*


                          InterWest Medical Corporation
                                (Name of Issuer)

                          Common Stock, $.001 par value
                         (Title of Class of Securities)

                                    460909104
                                 (CUSIP Number)


                               September 29, 1998
             (Date of Event Which Requires Filing of this Statement)



*The  remainder of this cover page shall be filled out for a reporting  person's
initial filing on this form with respect to the subject class of securities, and
for any subsequent amendment containing information which would alter disclosure
provided in a prior cover page.

The information required in the remainder of this cover page shall not be deemed
to be "filed" for the purpose of Section 18 of the  Securities  Exchange  Act of
1934 ("Act") or otherwise  subject to the liabilities of that section of the Act
but  shall be  subject  to all other  provisions  of the Act  (however,  see the
Notes).





CUSIP NO. 460909104

                                   Page 1 of 4

<PAGE>


CUSIP No. 460909104                SCHEULE 13D

________________________________________________________________________________
1    Name of Reporting Person
     S.S. or I.R.S. Identification No. of Above Person (Entities Only)

     Bruce Paul

________________________________________________________________________________
2    Check the Appropriate Box If a Member of a Group (See Instructions)
                                                                 a.  [_]
                                                                 b.  [x]

________________________________________________________________________________
3    SEC Use Only



________________________________________________________________________________
4    Source of Funds

     PF

________________________________________________________________________________
5    Check if Disclosure of Legal Proceedings is Required 
     Pursuant to Items 2(d) OR 2(c)                                   [_]

     N/A

________________________________________________________________________________
6    Citizenship or Place of Organization

     United States

________________________________________________________________________________
               7    Sole Voting Power
                    
  Number of         0
                    
   Shares      _________________________________________________________________
               8    Shared Voting Power
Beneficially        
                    0
  Owned by          
               _________________________________________________________________
    Each       9    Sole Dispositive Power
                    
  Reporting         0
                    
   Person      _________________________________________________________________
               10   Shared Dispositive Power
    With            
                    0
                    
________________________________________________________________________________
11   Aggregate Amount Beneficially Owned by Each Reporting Person

          0

________________________________________________________________________________
12   Check Box If the Aggregate Amount in Row (9) Excludes Certain Shares
     (See Instructions)

                                                                      [_]

________________________________________________________________________________
13   Percent of Class Represented by Amount in Row 9

     0%

________________________________________________________________________________
14   Type of Reporting Person (see Instructions)

     IN

________________________________________________________________________________
                    


                                   Page 2 of 4

<PAGE>


CUSIP No. 460909104



Item 1.    Security and Issuer

           Common Stock
           $.001 par value
           InterWest Medical Corporation
           3221 Hulen Street, Suite C
           Fort Worth, Texas 76107-6193


Item 2.    Identity and Background

           (a)   Bruce Paul

           (b)   One Hampton Road
                 Purchase, NY 10577

           (c)   Private Investor
                 One Hampton Road
                 Purchase, NY 10577

           (d)   During  the last  five  years,  the  Reporting  Person  was not
                 convicted   in  a  criminal   proceeding   (excluding   traffic
                 violations or similar misdemeanors).

           (e)   During  the last five  years,  the  Reporting  Person was not a
                 party to a civil  proceeding  of a judicial  or  administrative
                 body of  competent  jurisdiction  which  resulted  in his being
                 subject to a judgment,  decree or final order enjoining  future
                 violations of, or prohibiting or mandating  activities  subject
                 to, federal or state  securities  laws or finding any violation
                 with respect to such laws.

           (f)   United States


Item 3.    Source and Amount of Funds or Other Consideration

           N/A


Item 4.    Purpose of Transaction

           On September 29, 1998, the Reporting  Person sold all of his stock of
           the Issuer  (including stock held as custodian for his children) in a
           private transaction to reduce his holdings in the Issuer to zero.



                                   Page 3 of 4

<PAGE>


CUSIP No. 460909104



Item 5.    Interest in Securities of Issuer

                 0


Item 6.    Contracts, Arrangements, Understandings or Relationships
           With Respect to Securities of the Issuer

           The Reporting Person and the Issuer executed a letter agreement dated
           September  29,  1998 in which  the  Reporting  Person  agreed  not to
           directly or indirectly  acquire any other securities of the Issuer or
           to encourage or assist any other  persons or firms in acquiring  such
           securities.

           The   Reporting   Person  has  no  other   contracts,   arrangements,
           understandings or relationships  (legal or otherwise) among any other
           persons with respect to any securities of the Issuer  including,  but
           not limited to, transfer or voting of any of the securities,  finders
           fees,  joint  ventures,  loan or option  arrangements,  put or calls,
           guarantees  of profits,  division of profits,  loss, in the giving or
           withholding of proxies.


Item 7.    Materials to be Filed as Exhibits

           Exhibit 1    September 29, 1998 letter agreement between the 
                        Reporting Person and the Issuer.




                                    SIGNATURE

     After  reasonable  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.




                                                  10/8/98          
                                        ------------------------------
                                                   Date



                                               /s/ Bruce Paul      
                                        ------------------------------
                                                 Bruce Paul



                                   Page 4 of 4





                                    InerWest Medical Corporation
                                    Arlington Heights Professional Office Bldg.
                                    3221 Hulen Street, Suite C
                                    Fort Worth, Texas 76107-6193




September 29, 1998



                                                            Via FAX 914-251-0542



Bruce Paul
1 Hampton Road
Purchase, NY 10577

Dear Bruce:

     This letter will confirm the oral agreement we reached yesterday concerning
the sale by you to Roche Canyon  Convalescent  Center, Inc. ("Roche") of a total
of 2,225,500 shares of common stock of Interwest Medical Corporation  ("Shares")
for a total purchase price of $399,590.00.

      The Shares are owned as follows:

      Bruce Paul                                               2,065,500

      Bruce Paul, Custodian for Jason Paul                        65,000

      Bruce Paul, Custodian for Ryan Paul                         95,000
                                                              ----------

                 Total                                         2,225,500

     The shares are now held in street name.  You will promptly have such shares
reissued  in the  appropriate  names.  You will  then  execute  the  certificate
representing the Shares, with signature appropriately guaranteed, attach them to
a 7-day draft and send them through your bank for collection.

     Roche's bank is Frost National Bank, 4200 Hulen Street,  Fort Worth,  Texas
76109,  Attn:  Collection  Department.  Please note on the draft to call Arch B.
Gilbert 731-2743, Roche's account number is 000 36483.

     As  part of  this  agreement,you  agree  that  you  will  not  directly  or
indirectly  acquire any other  securities of Interwest  Medical  Corporation  or
encourage or assist other persons or firms in acquiring such securities.


<PAGE>



     Please execute a copy of this letter and return it by fax (817) 731-2768 to
reflect your agreement to these terms.

                                     Roche Canyon Convalescent Center Inc.



                                     By:       /s/ Arch B. Gilbert 
                                              -------------------------------
                                                       President



       /s/ Bruce Paul              
- ----------------------------------
      Bruce Paul



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