FORM 4
U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Check this box if no longer
subject to Section 16. Form 4
or Form 5 obligations may
continue. See Instruction 1(b)
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
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 of
Section 30(f) of the Investment Company Act of 1940
<TABLE>
<S> <C>
- ------------------------------------------------------------------ -----------------------------------------------------------------
2. Issuer Name and Ticker or Trading Symbol
Name and Address of Reporting Person LifePoint, Inc - LFPT
Clark Michele A.
____________________________________________________________
(Last) (First) (Middle)
10400 Trademark Street
____________________________________________________________
(Street)
Rancho Cucamonga, CA 91730
____________________________________________________________
City (State) (Zip)
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- ------------------------------------------------------------------ ------------------------- ---------------------------------------
<C> <C>
3. IRS or Social 4. Statement for Month/Year
Security Number of
Reporting Person 11/99
(Voluntary)
###-##-####
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- ------------------------------------------------------------------ ------------------------- ---------------------------------------
<C>
5. If Amendment, Date of Original
(Month/Year)
N/A
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<C>
6. Relationship of Reporting Person to Issuer
(Check if Applicable)
__ Director ___ 10% Owner
X Officer ___ Other (specify below)
(give title below)
Controller and Chief Accounting Officer
</TABLE>
<PAGE>
<TABLE>
<CAPTION>
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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- --------------------------------------------------------- ------------------- ------------------ --------------------------------
<S> <C> <C> <C>
1. Title of Security 2. Transaction 3. Transaction 4. Securities Acquired (A) or
(Instr. 3) Date Code Disposed of (D) (Instr. 3, 4,
(Month/Day/Year) (Instr. 8) and 5)
- --------------------------------------------------------- ------------------- ------------------ --------------------------------
- --------------------------------------------------------- ------------------- ---------- ------- ----------- --------- ----------
Code V Amount (A) or Price
(D)
- --------------------------------------------------------- ------------------- ---------- ------- ----------- --------- ----------
- --------------------------------------------------------- ------------------- ---------- ------- ----------- --------- ----------
None
- --------------------------------------------------------- ------------------- ---------- ------- ----------- --------- ----------
- --------------------------------------------------------- ------------------- ---------- ------- ----------- --------- ----------
<C> <C> <C>
- --------------- ----------- ---------------
- --------------- ----------- ---------------
5. Amount of 6. 7. Nature of
Securities Ownership Indirect
Beneficially Form: Beneficially
Owned at End Direct Ownership
of Month (D) or (Instr. 4)
(Instr. 3 and Indirect
4) (I)
(Instr. 4)
- --------------- ----------- ---------------
- --------------- ----------- ---------------
- --------------- ----------- ---------------
</TABLE>
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
<TABLE>
<CAPTION>
<PAGE>
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
<S> <C> <C> <C> <C> <C>
- ---------------------------- ------------- -------------- -------------- --------------- -----------------
1. Title of Derivative 2. Conver- 3. 4. 5. Number of 6. Date
Security (Instr. 3) sion or Transaction Transaction Derivation Exercisable and
Exercisable Date Code (Instr.8 Securities Expiration Date
Price of (Month/Day/Year Acquired (A) (Month/Date/Year)
Derivative or Disposed
Security of (D)
(Instr. 3,4,
and 5)
- ---------------------------- ------------- -------------- -------------- --------------- -----------------
- ---------------------------- ------------- -------------- ------ ------- -------- ------ -------- --------
Code V (A) (D) Date Expiration
Exercis- Date
able
- ---------------------------- ------------- -------------- ------ ------- -------- ------ -------- --------
- ---------------------------- ------------- -------------- ------ ------- -------- ------ -------- --------
Common Stock Option $1.87 11/17/99 A 1 0 (1) 11/16/09
- ---------------------------- ------------- -------------- ------ ------- -------- ------ -------- --------
- ---------------------------- ------------- -------------- ------ ------- -------- ------ -------- --------
- ---------------------------- ------------- -------------- ------ ------- -------- ------ -------- --------
- ---------------------------- ------------- -------------- ------ ------- -------- ------ -------- --------
- ---------------------------- ------------- -------------- ------ ------- -------- ------ -------- --------
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<S> <C> <C> <C> <C>
- ------------------------ ------------- ------------- ----------- -----------
7. Title and Amount of 8. Price of 9. Number 10. 11.
Underlying Securities Derivative of Ownership Nature of
(Instr. 3 and 4) Security Derivative Form of Indirect
(Instr. 5) Securities Derivative Beneficial
Beneficially Security: Ownership
Owned at Direct (Instr. 4)
end of (D) or
month Indirect
(Instr. 4) (I)
(Instr. 4)
- ------------------------ ------------- ------------- ----------- -----------
- ----------- ------------ ------------- ------------- ----------- -----------
Title Amount or
Number of
Shares
- ----------- ------------ ------------- ------------- ----------- -----------
- ----------- ------------ ------------- ------------- ----------- -----------
Common 50,000 0 100,000 D N/A
Stock
- ----------- ------------ ------------- ------------- ----------- -----------
- ----------- ------------ ------------- ------------- ----------- -----------
- ----------- ------------ ------------- ------------- ----------- -----------
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</TABLE>
<PAGE>
Explanation of Responses:
(1) Becomes exercisable as to 12,500 shares on 11/17/00; becomes
exercisable as to 1,042 shares on the 17th of each month thereafter
for a period of 35 months; becomes exercisable as to 1,030 shares on
the 17th day of the 36th month thereafter.
/s/ Michele A. Clark 12/10/99
---------------------------------------------
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.
