FORM 5
[ ] Check box if no longer subject to
Section 16. Form 4 or 5 obligations
May continue. See Instructions 1(b).
[X] Form 3 Holdings Reported
[X] Form 4 Transactions Reported
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
Pallin Jonathan J.
- -----------------------------------------
(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
3/98
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5. If Amendment, date of Original (Month/Year)
- --------------------------------------------
6. Relationship of Reporting Person to Issuer
(Check all applicable)
[x]Director [x]10% Owner
[x]Officer (give title below) [ ]Other (specify below)
Chairman of the Board
- --------------------------
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
--------- ----------- ------------ ------ -------- ------
Common Stock, 10/29/97 J(1) 4,325,306 A $.04
$.001 par value
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)
- --------- ------------------ --------------- ------------
Common Stock, 4,325,306 I (2)
$.001 par value
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)
---------- ------------- ----------- ------------ ------ -----
Common Stock $.50 01/08/98 J(3) 516,289 0
Purchase
Warrant
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)
- ---------- -------- --------- ------ -------- -----------
Common Stock 01/08/98 01/07/03 Common 516,289 0
Purchase Stock
Warrant
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)
- ------------- ------------ ------------ -----------
Common Stock 516,289 I (2)
Purchase
Warrant
</TABLE>
Explanation of Responses:
(1) Acquired from Substance Abuse Technologies, Inc. ("SAT")
pursuant to SAT's bankruptcy court order.
(2) As member of limited liability company.
(3) Grant from issuer to correct SAT error relating to
acquisition described in note (1).
/s/ Jonathan J. Pallin 5/29/98
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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.
