FORM 5
[ ] Check box if no longer subject to
Section 16. Form 4 or 5 obligations
may continue. See Instructions 1(b).
U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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
1. Name and Address of Reporting Person
Benken William B.
- -----------------------------------------
(Last) (First) (Middle)
Lifepoint, Inc., 10400 Trademark Street
- ------------------------------------------
(Street)
Rancho Cucamonga, CA 97130
- ------------------------------------------
(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Lifepoint, Inc. LFPT
- -------------------------------------------
3. IRS or Social Security Number of Reporting Person (Voluntary)
###-##-####
- ------------------------------------------
4. Statement for Month/Year
6/98
- -------------------------------------------
5. If Amendment, date of Original (Month/Year)
- --------------------------------------------
6. Relationship of Reporting Person to Issuer
(Check all applicable)
[ ]Director [ ]10% Owner
[x]Officer (give title below) [ ]Other (specify below)
Vice President, Operations
- --------------------------
Table I - Non-Derivative Securities Acquired, Disposed of, or
Beneficially Owned
4. Securities Acquired (A) or
Disposed of (D) (Instr. 3,4
1. Title of 2. Transaction 3. Transaction and 5)
Security Date Code ----------------------------
(Instr.3) (Mo/Day/Yr) (Instr. 8) Amount (A)or(D) Price
--------- ----------- ------------ ------ -------- ------
Code V
---- ---
NONE
5. Amount of
Securities
Beneficially 6. Ownership 7. Nature of
Owned at End Form: Direct Indirect
Title of of Issuer's (D) or In- Beneficial
Security Fiscal Year direct (I) Ownership
(Instr.3) (Instr.3 and 4) (Instr. 4) (Instr. 4)
- --------- ------------------ --------------- ------------
NONE
Table II - Derivative Securities Acquired, Disposed of, Beneficially Owned
(e.g., puts calls, warrants, options, convertible securities)
<TABLE>
<S> <C> <C> <C> <C>
5. Number of
Derivation
Securities
2. Conversion or Acquired (A)
1. Title of Exercisable Disposed of (D)
Derivative Price of 3. Transaction 4. Transaction Instr. 3,4 and5
Security Derivative Date Code ---------------
(Instr. 3) Security (Mo/Day/Yr) (Instr. 8) (A) (D)
---------- ------------- ----------- ------------ ------ -----
Code V
---- ---
Stock Option $.50 6/30/98 A 15,000 0
6. Date 7. Title and
Exercisable Amount of
and Expir- Underlying
ation Date Securities
(Mo/Day/Yr) (Instr. 3 and 4)
Title of ----------------- ---------------- 8. Price of
Derivative Date Expir Amount or Derivative
Security Exercis ation Number of Security
(Instr.3) able Date Title Shares (Instr.5)
- ---------- -------- --------- ------ -------- -----------
Stock Option (1) 6/29/98 Common 50,000 0
Stock
9. Number of
Derivative 10. Ownership
Securities Form of
Beneficially Derivative 11. Nature
Title Owned at Security: of Indirect
of Derivative end of Direct (D) Beneficial
Security month Indirect (I) Ownership
(Instr.3) (Instr.4) (Instr.4) (Instr. 4)
- ------------- ------------ ------------ -----------
Stock Option 265,000 D N/A
</TABLE>
Explanation of Responses:
(1) Becomes exercisable as to 3,750 shares on 6/30/99, becomes exercisable
as to 313 shares on the 30th of each month for 35 months thereafter, and
becomes exercisable as to 312 shares on the 30th of the 36th month thereafter.
/s/ William B. Benken 7/10/98
----------------------------- -------
Signature of Reporting Person Date
**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.
