INTEGRATED ORTHOPEDICS INC
SC 13D/A, EX-99.6, 2000-08-08
HEALTH SERVICES
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                                  Exhibit 99.6

                   FW Integrated Orthopaedics Investors, L.P.
                and FW Integrated Orthopaedics Investors II, L.P.
                           201 Main Street, Suite 3100
                            Fort Worth, Texas  76102




July 26, 2000

Robert L. Stein
Chartwell Capital Management, Inc.
1 Independent Drive
Suite 3120
Jacksonville, FL 32202

Re:  Conversion  of  Series  A  and  Series B  Preferred  shares  of  Integrated
Orthopaedics, Inc.

Dear Bobby,

The  following  represents our understanding of how the Integrated Orthopaedics,
Inc. (IOI) Series A and Series B would be treated if the Series B determines  to
convert  at  a  price  greater than that which they are legally  entitled.   Our
intention  in  such a conversion would be to transfer additional  value  to  the
Common shareholder and to leave the Series A unaffected by the conversion of the
Series  B  at  a higher price.  Accordingly, the percentage ownership  that  the
holders  of  the Series A would receive if both the Series A and B converted  at
the  prices set forth in the preferred stock documents should not change due  to
the conversion of the Series B at a higher price.  This will be accomplished  by
the  Series  A holders converting its shares at a slightly higher price  if  and
when the adjusted Series B conversion price has been established.

For example:
As  illustrated  below, if the Series A and Series B converted their  shares  at
$1.00/share, the Series A holders would receive 8.21% of the shares  outstanding
and  the  Series  B  holders would receive 76.64%.   If  the  Series  B  holders
converted  at $1.25 rather than $1.00, the Series A would convert at  $1.20  per
share  and thus their ownership of the total shares would also be 8.21% and  the
Series B will have transferred 3.04% to the Common shareholders.

Share price    Convestion price
 Common shares   n/a               6,161,000      15.15%
 Series A        $        1.00     3,339,231       8.21%
 Series B        $        1.00    31,167,863      76.64%
                                  ----------------------
 Total                            40,668,094     100.00%
                                  ----------------------

Share price    Convestion price
 Common shares   n/a               6,161,000      18.19%
 Series A        $        1.200    2,781,611       8.21%
 Series B        $        1.250   24,934,290      73.60%
                                  ----------------------
 Total                            33,876,901     100.00%
                                  ----------------------


Our  understanding is that Series A will convert at a conversion price that will
give the holders of the Series A the percentage that they would have received if
both  the Series A and Series B had converted their shares on the date that  the
Series A chooses as the marking date (as set forth below).

For these purposes, the following steps would be followed:

1.    The  holders  of Series B shall provide the Series A with  copies  of  any
  agreements  that relate to the Series B holders converting their shares  at  a
  value different than that to which holders of the Series B are legally
  entitled. The  price contained in the Series B contract (the "Series B
  Contract") is the "Series B Adjusted Conversion Price".

2.    The holders of Series A shall provide written notice to the holders of the
  Series B on the day that they choose to use as the "Marking Date", which may
  be before any Series B Contract is entered into.

3.    The  "Target Percentage" would be the percentage that the Series  A  would
  receive if both the Series A and Series B converted their shares on the
  Marking Date in accordance with the current provisions of the respective
  securities.

4.    The  "Series A Adjusted Conversion Price" shall be the greater of (i)  the
  conversion price specified in the documents governing the Series A and (ii)
  the conversion  price  that  when divided into the Series  A  value  plus
  accrued dividends  results in shares sufficient to provide the Series  A
  holders the Target Percentage assuming the Series B had converted at the
  Series B Adjusted Conversion Price.

5.If  the  holders  of  the Series B convert their Series B shares  into  Common
  Stock,  and  on conversion convert at the Series B Adjusted Conversion  Price,
  the  holders of the Series A agree that if such holders determine  to  convert
  their  Series  A  shares they will do so at the Series A  Adjusted  Conversion
  Price.   If  the  holders of the Series A shall have already  converted  their
  Series  A  shares at the date upon which the Series B holders convert  at  the
  Series  B Adjusted Conversion Price, the Series A holders shall return to  IOI
  for  cancellation such number of shares of Common Stock that  will  allow  the
  holders  of  the Series A to retain the number of shares of Common Stock  that
  they  would  have  received if they had converted at  the  Series  A  Adjusted
  Conversion Price.

The  agreements  set forth herein shall be of no further force or  effect  after
December  31,  2002.  If the foregoing reflects your agreement and understanding
with respect to the matters set forth herein, please so indicate by executing  a
counterpart of this letter and returning it to me.



                              FW INTEGRATED ORTHOPAEDICS INVESTORS, L.P.

                              By Group 31, Inc., General Partner


                              By:
                                 Scott Hancock, Vice President

                              FW INTEGRATED ORTHOPAEDICS
                              INVESTORS II, L.P.

                              By FW Group Genpar, Inc., General Partner


                              By
                                Scott J. Hancock, Vice President


ACCEPTED AND AGREED TO
this ___ day of July, 2000

CHARTWELL CAPITAL
MANAGEMENT, INC.


By:
Print Name:
Title:




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