UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
FORM 4
[ ] Check this box if no longer OMB APROVAL
subject to Section 16. Form 4 or OMB NUMBER: 3235-0287
Form 5 obligations may continue. Expires: September 30, 2000
See Instruction 1(b). Estimated average burden
hours per response........0.5
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934,
Section 17(a) of the Public Utility Holding Company Act of 1935
or Section 30(f) of the Investment Company Act of 1940
(Print or Type Responses)
1. Name and Address of Reporting Person*
Morgan Stanley Venture Capital III, Inc.(1)
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(Last) (First) (Middle)
1221 Avenue of the Americas
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(Street)
New York NY 10020
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(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Allscripts, Inc. (MDRX)
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3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary)
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4. Statement for Month/Year
09/99
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5. If Amendment, Date of Original (Month/Day/Year)
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6. Relationship of Reporting Person(s) to Issuer (Check all applicable)
Director X 10% Owner
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Officer (give title below) Other (specify below)
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7. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
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X Form filed by More than One Reporting Person
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<PAGE>
Table I -- Non-Derivative Securities Acquired, Disposed of, or
Beneficially Owned
<TABLE>
1. Title of Security 2. Trans- 3. Trans- 4. Securities Acquired 5. Amount of Securities 6. Ownership 7. Nature of
(Instr. 3) action action (A) or Disposed of Beneficially Owned Form: Direct Indirect
Date Code (D) (Instr. 3, 4 at End of Month (D) or In- Beneficial
(Instr.8) and 5) (Instr. 3 and 4) direct (I) Ownership
(Month/ (Instr. 4) (Instr. 4)
Day/ (A) or
Year) Code V Amount (D) Price
- ------------------------- --------- ---- --- ------- --- --------- -------------------- -------------- -------------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C>
Common Stock 9/22/99 X 77,140 (A) $7.50 6,062,062 I(3) by partnerships
Common Stock 9/22/99 X 706,064 (A) 0.06
Common Stock 9/22/99 X 137,674 (A) 4.2024
Common Stock 9/22/99 J(1)(2) 79,304 (D) 15.1250
</TABLE>
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction
4(b)(v).
(Over)
SEC 1474 (7-96)
<PAGE>
FORM 4 (continued)
Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
<TABLE>
1. Title of 2. Conversion or 3. Transaction Date 4. Transaction 5. Number of 6. Date Exercisable and
Derivative Exercise Price (Month/Day/Year) Code Derivative Expiration Date
Security of Derivative (Instr. 8) Securities (Month/Day/Year)
(Instr. 3) Security Acquired (A)
or Disposed of
(D) (Instr. 3,
4 and 5)
Date Expiration
Code V (A) (D) Exercisable Date
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<S> <C> <C> <C> <C> <C> <C> <C> <C>
1994 Extension Guaranty Warrants 7.50 9/22/99 X 77,140 Immediately 9/30/99
Series H Warrants 0.06 9/22/99 X 362,431 Immediately 9/30/99
1996 Extension Warrants 4.2024 9/22/99 X 137,674 Immediately 4/30/01
Series H Extension Warrants 0.06 9/22/99 X 146,379 Immediately 4/15/03
Series J Debenture Warrants 0.06 9/22/99 X 197,254 Immediately 4/15/03
1. Title of 7. Title and Amount of 8. Price of 9. Number of 10. Ownership 11. Nature of
Derivative Underlying Securities Derivative derivative Form of Indirect
Security (Instr. 3 and 4) Security Securities Derivative Beneficial
(Instr. 3) (Instr. 5) Beneficially Security: Ownership
Amount Owned at End Direct (D) (Instr. 4)
or of Month or Indirect
Number (Instr. 4) (I)
of (Instr. 4)
Title Shares
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<S> <C> <C> <C> <C> <C> <C>
1994 Extension Guaranty Warrants Common Stock 77,140 N/A 0
Series H Warrants Common Stock 362,431 N/A 0
1996 Extension Warrants Common Stock 137,674 N/A 0
Series H Extension Warrants Common Stock 146,379 N/A 0
Series J Debenture Warrants Common Stock 197,254 N/A 0
</TABLE>
Explanation of Responses:
(1) See note (3).
(2) Shares withheld by issuer in payment of exercise price in connection with
exercise of derivative securities.
(3) Securities are owned directly by Morgan Stanley Venture Partners III, L.P.,
Morgan Stanley Venture Investors, III L.P. and The Morgan Stanley Venture
Partners Entrepreneur Fund, L.P. of each of which the reporting person is the
general partner. The reporting person disclaims beneficial ownership of the
securities held at month end, except to the extent of its pecuniary interest as
the general partner of the above-named partnerships.
MORGAN STANLEY VENTURE CAPITAL III, INC.
By: /s/ Stephanie Holmes October 10, 1999
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**Signature of Reporting Person Date
By: Stephanie Holmes, authorized
signatory for the reporting persons
**Intentional misstatements or omissions of facts constitute Federal Criminal
Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed.
If space provided is insufficient, see Instruction 6 for procedure.
Potential persons who are to respond to the collection of information contained
in this form are not required to respond unless the form displays a currently
valid OMB Number.
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SEC 1474 (7-96)
