INTEGRATED ORTHOPEDICS INC
SC 13D/A, EX-99.5, 2000-08-04
HEALTH SERVICES
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                                  Exhibit 99.5

                                    AGREEMENT

          Effective  this  ___  day  of July, 2000, FW  Integrated  Orthopaedics
Investors,  L.P.,  FW Integrated Orthopaedics Investors II, L.P.,  (collectively
the  "B  Holder")  and Jose E. Kauachi ("Kauachi"), William  F.  Donovan,  M.D.,
Sharon  Ann Donovan, Elwayne Hafen, Ray Bishop, Mark Gerstenfeld, Fred Bressler,
George  Valente, Gerry Dye, William Papenhagen, Dean Lousberg, and Brian Rothman
(collectively  with  Kauachi, the "Other Holders") and Integrated  Orthopaedics,
Inc.,  a  Texas  corporation  (the "Company") enter  into  this  Agreement  (the
"Agreement") as follows:

          WHEREAS,  the  B Holder holds all of the Series B Preferred  Stock  of
Integrated Orthopaedics, Inc. (the "Company");

          WHEREAS,   Under that certain Certificate of Designations  filed  with
the Secretary of the State of Texas dated December 12, 1997 (the "Certificate of
Designations"), the Series B Preferred shares may be converted (either through a
mandatory conversion or at the Company's option) into shares of common stock  of
the Company;

          WHEREAS,  Kauachi is a common shareholder, Chairman of  the  Board  of
Directors,  Director,  Interim President and a member  of  the  Special  Purpose
Executive Committee overseeing day-to-day operations of Integrated Orthopaedics,
Inc. ("IOI"); and

          WHEREAS; the Other Holders support the Board of Directors' efforts  to
maximize shareholder value by all means including, without limitation, potential
changes  in the strategic direction of the Company and the pursuit of  potential
extraordinary transactions.

          NOW THEREFORE, in consideration of the mutual promises, covenants, and
warranties contained herein, the parties agree as follows:

                                      TERMS


     1.    Notwithstanding  section 10 of the Certificate of  Designations  (and
specifically  section 10.3), in the event that the B Holder chooses  to  convert
its  Series  B Preferred Stock into shares of the Company's common  stock  at  a
Conversion  Price (as defined in the Certificate of Designations)  of  $1.50  or
higher  (the "Reduced Conversion Amount"), the Release (as defined below) agreed
to  by the Other Holders in this Agreement becomes effective immediately without
further action or notice.

     2.    In  exchange  for  the B Holder's agreement to  receive  the  Reduced
Conversion Amount, the Other Holders agree to and hereby discharge, release, and
acquit  the B Holder and the Company from all claims, issues, demands, or causes
of action of any kind or nature whatsoever (including costs, expenses, and legal
fees which may be incurred in litigating such claims), at common law, in equity,
statutory  or  otherwise,  fixed or contingent,  known  or  unknown,  actual  or
potential,  whether or not asserted, now existing or that might hereafter  arise
directly  or indirectly related to the B Holder's (i) ownership of the Series  B
Preferred  Stock,  (ii) conversion of such stock into shares  of  the  Company's
common  stock,  (iii)  ownership  of  the  Company's  common  stock  after  such
conversion, including any sale, transfer, or disposition of such stock, if  any,
(iv)  service  or  actions by representatives of the B Holder on  the  Board  of
Directors  of the Company and committees thereof, (v) actions by representatives
of the B Holder in support of the B Holder's investment in the Company, and (vi)
any  other  actions by representatives of the B Holder relating to the  Company,
its employees, customers, or related entities  (collectively, the "Release").

                         REPRESENTATIONS AND WARRANTIES

     3.    Each  party represents and warrants that in the event  of  a  default
under  this  Agreement,  it  will pay the other  party's  reasonable  costs  and
attorney's  fees  necessary to enforce this Agreement to the  extent  the  party
seeking  recovery  of such costs and attorneys' fees proves default  under  this
Agreement.

     4.    Each  party represents and warrants that it is authorized to  execute
this  Agreement  on behalf of the party for whom they purport  to  execute  this
Agreement.

     5.    Each  party represents and warrants that it is legally  competent  to
execute this Agreement and that it is the owner of the claims, liabilities,  and
causes  of  action  released herein and that it has not  assigned,  transferred,
conveyed,  or  in  any way encumbered any claim, liability, or cause  of  action
released herein.  Each party represents and warrants that it is fully authorized
to  execute this Agreement without the necessity of obtaining the consent of any
other  party  and  that no other person or entity needs to  be  joined  in  this
Agreement in order to accomplish the agreements and releases set forth herein.

     6.    Each party represents and warrants that the execution and performance
of  this Agreement will not result in a breach of or constitute a default  under
any  charter  or  bylaw or any provision which is binding on  it  or  any  other
agreement, contract, or undertaking to which it is a party.

     7.    Any reference to the "party" or the "parties" shall mean and refer to
Integrated  Orthopaedics or Kauachi or both and each of Integrated Orthopaedics'
affiliates,    subsidiaries,   parent   corporations,    successors-in-interest,
predecessors-in-interest,  agents,  servants,  employees,  partners,   officers,
directors,   attorneys,  consultants,  and  representatives,  if  any,   whether
specifically named herein or not, and any other person in privity  with  any  of
them.

     8.    Each  party represents and warrants that it has read this  Agreement,
that  it  understands this Agreement, and that it freely and voluntarily entered
into this Agreement after receiving the advice of counsel.

     9.    This  instrument constitutes the entire agreement between the parties
hereto  relating  to  the subject matter hereof and there  are  no  inducements,
representations, warranties, or understandings between the parties that  do  not
appear within the terms and provisions of this Agreement.

     10.   This  Agreement  supersedes any and all  prior  oral  and/or  written
agreements between the parties.

     11.   Each  party  understands that this is a  full,  final,  and  complete
Agreement   and  that  the  consideration  described  herein  is  all   of   the
consideration to be given by each party hereto.

     12.   Each  party agrees that no promise or agreement that  is  not  herein
expressed has been made to either party in executing this Agreement, and that no
party  is relying upon any statement on representation of any party or any agent
of any of the parties being released hereby.  Each party is relying on their own
judgment in executing this Agreement.

     13.  This Agreement may not be modified, amended, or terminated orally, and
no  term  hereof  may  be waived.  No modification, amendment,  termination,  or
claimed  waiver  of  any of the provisions of this Agreement  shall  be  binding
unless  made  in writing and signed by the party against whom such modification,
amendment, or waiver is sought to be enforced.

     14.   It  is  expressly  understood and agreed that the  terms  hereof  are
contractual and not mere recitals.

     15.   This Agreement may be executed in one or more counterparts,  each  of
which when so executed and delivered shall be deemed to be an original, but  all
of  which  taken together shall constitute but one and the same  instrument.   A
facsimile signature of this Agreement shall be effective in all respects.

     16.   Each  of  the  parties to this Agreement shall bear  its  own  costs,
attorneys' fees, and all other costs.

     17.   All headings used in this Agreement are used for convenience only and
shall not be used to construe the meaning of any provision of this Agreement.

                                  GOVERNING LAW

     18.  This Agreement shall be governed by the laws of the State of Texas.

     19.  In the event any one or more of the provisions contained herein should
be  invalid,  illegal, or unenforceable in any respect, the validity,  legality,
and enforceability of the remaining provisions contained herein shall not in any
way  be affected thereby and each remaining term and provision of this Agreement
shall be valid and be enforced to the fullest extent permitted by law.

          IN WITNESS WHEREOF, the undersigned have executed this Agreement as of
the date set forth above.

FW INTEGRATED ORTHOPAEDICS
INVESTORS, L.P.

By Group 31, Inc., General Partner

By ________________________


FW INTEGRATED ORTHOPAEDICS
INVESTORS II, L.P.

By FW Group Genpar Inc., General Partner

By ________________________


___________________________
Jose E. Kauachi

___________________________
William F. Donovan, M.D

___________________________
Sharon Ann Donovan

___________________________
Elwayne Hafen

___________________________
Ray Bishop

___________________________
Mark Gerstenfeld

___________________________
Fred Bressler

___________________________
George Valente

___________________________
Gerry Dye

___________________________
William Papenhagen

___________________________
Dean Lousberg

___________________________
Brian Rothman



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