FORM 3
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
Foley Thomas J.
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(Last) (First) (Middle)
Lifepoint, Inc. 10400 Trademark Street
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(Street)
Rancho Cucamongo CA 91730
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(City) (State) (Zip)
2. Date of Event Requiring Statement
3/09/98
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(Month/Day/Year)
3. IRS or Social Security Number of Reporting Person (Voluntary)
###-##-####
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4. Issuer Name and Ticker or Trading Symbol
LifePoint, Inc. - LFPT
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5. Relationship of Reporting Person to Issuer
(Check all applicable)
[ ]Director [ ]10% Owner
[x]Officer (give title below) [ ]Other (specify below)
Chairman of the Board
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6. If Amendment, Date of Original
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(Month/Day/Year)
Table 1 - Non-Derivative Securities Beneficially Owned
3. Ownership 4. Nature of
2. Amount of Form: Direct Indirect
1. Title of Securities (D) or In- Beneficial
Security Beneficially direct(I) Ownership
(Instr. 4) Owned (Instr. 4) (Instr. 5) (Instr. 5)
- ------------- ------------------- --------------- ------------
NONE
Table II - Derivative Securities Beneficially Owned (e.g. puts, calls, warrants
options, convertible securities)
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<S> <C> <C> <C> <C> <C>
3. Title and Amount
of Securities
2. Date Exercisable and Underlying 5. Ownership
Expiration Date Derivative Form of
(Mo/Day/Yr) Security 4. Conversion Derivative 6. Nature of
-------------------- ------------------ or Exer- Security: Indirect
1. Title of Date Expir- Amount cise Price Direct (D) or Beneficial
Derivative Exerci- ation or Number of Derivative Indirect (I) Ownership
Security sable Date Title of shares Security (Instr. 5) (Instr. 5)
---------- -------- -------- ------ --------- ------------- ------------- ----------
Stock Option (1) 3/19/08 Common 100,000 $.50 D N/A
Stock
Stock Option (2) 3/19/08 Common 100,000 $.50 D N/A
Stock
Explanation of Responses:
(1) Becomes exercisable as to 25,000 shares on 3/20/99, as to 2,083
shares on the 20th of each month thereafter for 35 months and as to
2,095 shares on the 20th of the 30th month thereafter.
(2) (2) Becomes exercisable as to 50,000 shares upon completion of
working: prototype and as to the balance when FDA approval is
obtained.
**Intentional misstatements or omissions of facts constitute Federal
Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
/s/ Thomas J. Foley 5/29/98
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**Signature of Reporting Person Date
Note: File three copies of this Form, one of which must be manually
signed. If space provided is insufficient, See Instruction 6
for procedure.
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