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SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
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FORM 8-K
CURRENT REPORT
PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934
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<S> <C>
Date of report (Date of earliest event reported) April 20, 2000 (April 19, 2000)
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COLLEGIATE PACIFIC INC.
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(Exact Name of Registrant as Specified in Charter)
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<S> <C> <C> <C> <C>
Delaware 0-17293 22-2795073
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(State or Other Jurisdiction of (Commission File Number) (IRS Employer
Incorporation) Identification No.)
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13950 Senlac, Suite 200, Farmers Branch, Texas 75234
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(Address of Principal Executive Offices) (Zip Code)
Registrant's telephone number, including area code: (972) 243-8100
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None
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(Former Name or Former Address, if Changed Since Last Report)
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Item 5. Other Events
Effective April 19, 2000, all of the holders of Subordinated Convertible
Promissory Notes (the "Notes") of Collegiate Pacific Inc, (the "Company") (as
described in the Company's Registration Statement on Form SB-2, filed with the
Securities and Exchange Commission on April 7, 2000 (the "Registration
Statement")) (the "Note Holders") converted their Notes into shares of common
stock, $.01 par value per share, of Company (the "Common Stock")
The following table and accompanying footnotes identify each of the Note
Holders based upon information provided to the Company, set forth as of April
19, 2000. This information also states the principal amount of the Notes, the
number of shares the Notes are initially convertible into, shares beneficially
held by or acquired by, as the case may be, each Note Holder. Beneficial
ownership is stated as of immediately prior to this offering. Percentages are
based on 3,679,340 shares of Common Stock outstanding on February 29, 2000.
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<CAPTION>
Number of Shares Number of Shares
Principal Amount Issuable Upon Conversion Beneficially
Name of Note Holder of Note of Note(1) Owned(2) Percent of Class(3)
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<S> <C> <C> <C> <C>
Michael J. Blumenfeld, $1,500,000 454,545 4,416,134(4) 69.6%
Chief Executive Officer of the
Company
Watkins Brothers Trust $100,000 30,303 88,606(5) 2.4%
Arthur J. Coerver, IRA $20,000 6,060 81,780(6) 2.2%
Arthur J. Coerver $26,000 7,878 81,780(6) 2.2%
Colleen C. Coerver, IRA $4,000 1,212 81,780(6) 2.2%
Penn Footwear Retirement Trust $50,000 15,151 305,606(7) 7.9%
Davidowitz Foundation Inc. $50,000 15,151 32,302(8) 0.9%
JIBS Equities, L.P. $50,000 15,151 305,606(7) 7.9%
William Davidowitz $100,000 30,303 110,660(9) 2.9%
Robert W. Philip or Sharon A. $50,000 15,151 48,302(10) 1.3%
Philip Joint Tenants with Right
of Survivorship
Myrna G. Kulp(11) $100,000 30,303 65,926 1.8%
Harvey Rothenberg and Elizabeth $5,000 1,515 16,864(12) 0.5%
Rosenberg
Harvey Rothenberg, IRA $10,000 3,030 16,864(12) 0.5%
H. I. Schendle IRA Rollover $50,000 15,151 48,902(13) 1.3%
Eric Green GST Trust $120,000 36,363 72,726 1.9%
Total $2,235,000 677,267
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(1) The number of shares issuable upon conversion of the Notes is based on a
conversion price equal to $3.30 per share, with the Note Holder receiving a
cash payment in lieu of any fractional shares that would otherwise be
issued.
(2) As required by SEC regulations, the number of shares shown as beneficially
owned includes shares that could be purchased within 60 days after the date
of this Form 8-K. The table shows the estimated total of the shares which
would be issued on the conversion of all of outstanding Notes and the
exercise of all warrants to acquire shares of Common Stock described in
Registration Statement.
(3) The percentage of each Note Holder is based on the beneficial ownership of
that Note Holder divided by the sum of the current outstanding shares of
Common Stock plus the additional shares, if any, that would be issued to
that Note Holder (but not any other shareholder) when converting Notes or
exercising any warrant or other right in the future.
(4) Consists of 1,748,522 shares of Common Stock, 10,000 shares issuable upon
exercise of an option expiring February 24, 2009, 1,748,522 shares issuable
upon exercise of a warrant expiring May 26, 2005, 454,545 shares issued
upon conversion of a Note on April 19, 2000, and 454,545 shares issuable
upon exercise of a warrant expiring May 26, 2005 that will be issued as a
special dividend of warrants on shares of Common Stock issued upon
conversion of a Note on April 19, 2000.
(5) Consists of 13,500 shares of Common Stock, 1,000 shares issuable upon
exercise of an option expiring February 24, 2009, 13,500 shares issuable
upon exercise of a warrant expiring May 26, 2005, 30,303 shares held in
trust for the benefit of Mr. Watkins issued upon conversion of a Note on
April 19, 2000, and 30,303 shares held in trust for the benefit of Mr.
Watkins issuable upon exercise of a warrant expiring May 26, 2005 that will
be issued as a special dividend of warrants on shares of Common Stock
issued upon conversion of a Note on April 19, 2000.
(6) Consists of 23,240 shares of Common Stock, 5,000 shares issuable upon
exercise of an option expiring February 24, 2009, 23,240 shares issuable
upon exercise of a warrant expiring May 26, 2005, 6,060 shares held in
trust for the benefit of Mr. Coerver issued upon conversion of a Note on
April 19, 2000, 6,060 shares held in trust for the benefit of Mr. Coerver
issuable upon exercise of a warrant expiring May 26, 2005 that will be
issued as a special dividend of warrants on shares of Common Stock issued
upon conversion of a Note on April 19, 2000, 1,212 shares held in trust for
the benefit of Mr. Coerver's spouse shares issued upon conversion of a Note
on April 19, 2000, 1,212 shares held in trust for the benefit of Mr.
Coerver's spouse issuable upon exercise of a warrant expiring May 26, 2005
that will be issued as a special dividend of warrants on shares of Common
Stock issued upon conversion of a Note on April 19, 2000, 7,878 shares
issued upon conversion of a Note on April 19, 2000, and 7,878 shares
issuable upon exercise of a warrant expiring May 26, 2005 that will be
issued as a special dividend of warrants on shares of Common Stock issued
upon conversion of a Note on April 19, 2000.
(7) Consists of 122,000 shares of Common Stock, 1,000 shares issuable upon
exercise of an option expiring February 24, 2009, 122,000 shares issuable
upon exercise of a warrant expiring May 26, 2005, 30,303 shares issued upon
conversion of a Note on April 19, 2000, and 30,303 shares issuable upon
exercise of a warrant expiring May 26, 2005 that will be issued as a
special dividend of warrants on shares of Common Stock issued upon
conversion of a Note on April 19, 2000.
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(8) Consists of 1,000 shares of Common Stock, 1,000 shares issuable upon
exercise of a warrant expiring May 26, 2005, 15,151 shares issued upon
conversion of a Note on April 19, 2000, and 15,151 shares issuable upon
exercise of a warrant expiring May 26, 2005 that will be issued as a
special dividend of warrants on shares of Common Stock issued upon
conversion of a Note on April 19, 2000.
(9) Consists of 8,500 shares of Common Stock, 1,000 shares issuable upon
exercise of an option expiring February 24, 2009, 8,500 shares issuable
upon exercise of a warrant expiring May 26, 2005, 15,151 shares issued upon
conversion of a Note on April 19, 2000, and 15,151 shares issuable upon
exercise of a warrant expiring May 26, 2005 that will be issued as a
special dividend of warrants on shares of Common Stock issued upon
conversion of a Note on April 19, 2000.
(10) Consists of 25,000 shares of Common Stock, 25,000 shares issuable upon
exercise of a warrant expiring May 26, 2005, 30,303 shares issued upon
conversion of a Note on April 19, 2000, and 30,303 shares issuable upon
exercise of a warrant expiring May 26, 2005 that will be issued as a
special dividend of warrants on shares of Common Stock issued upon
conversion of a Note on April 19, 2000.
(11) Myrna G. Kulp is Michael J. Blumenfeld's sister-in-law.
(12) Consists of 200 shares of Common Stock, 1,687 shares of Common Stock held
in trust for the benefit of Mr. Rothenberg's child, 3,000 shares issuable
upon exercise of an option expiring February 24, 2009, 1,000 shares
issuable upon exercise of an option expiring February 24, 2009 held by Mr.
Rothenberg's spouse, 1,887 shares issuable upon exercise of a warrant
expiring May 26, 2005, 3,030 shares held in trust for the benefit of Mr.
Rothenberg issued upon conversion of a Note maturing January 31, 2005,
3,030 shares held in trust for the benefit of Mr. Rothenberg issuable upon
exercise of a warrant expiring May 26, 2005 that will be issued as a
special dividend of warrants on shares of Common Stock issued upon
conversion of a Note on April 19, 2000, 1,515 shares issued upon conversion
of a Note on April 19, 2000, and 1,515 shares issuable upon exercise of a
warrant expiring May 26, 2005 that will be issued as a special dividend of
warrants on shares of Common Stock issued upon conversion of a Note on
April 19, 2000.
(13) Consists of 9,300 shares of Common Stock, 9,300 shares issuable upon
exercise of a warrant expiring May 26, 2005, 15,151 shares issued upon
conversion of a Note on April 19, 2000, and 15,151 shares issuable upon
exercise of a warrant expiring May 26, 2005 that will be issued as a
special dividend of warrants on shares of Common Stock issued upon
conversion of a Note on April 19, 2000.
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Pursuant to the requirements of the Securities Exchange Act of 1934, the
registrant has duly caused this report to be signed on its behalf by the
undersigned hereunto duly authorized.
COLLEGIATE PACIFIC INC.
Dated: April 20, 2000 By: /s/ MICHAEL J. BLUMENFELD
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Name: Michael J. Blumenfeld
Title: Chairman and Chief Executive
Officer