U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 3
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
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1. Name and Address of Reporting Person*
Reynolds Lawrence A.
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(Last) (First) (Middle)
6255 Hidden Meadow Court
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(Street)
San Jose CA 95135
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(City) (State) (Zip)
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2. Date of Event Requiring Statement (Month/Day/Year)
01/21/00
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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)
Vice President, Marketing and Sales
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6. If Amendment, Date of Original (Month/Day/Year)
N/A
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Table I -- Non-Derivative Securities Beneficially Owned
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<TABLE>
<CAPTION>
3. Ownership Form:
2. Amount of Securities Direct (D) or
1. Title of Security Beneficially Owned Indirect (I) 4. Nature of Indirect Beneficial Ownership
(Instr. 4) (Instr. 4) (Instr. 5) (Instr. 4)
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<S> <C> <C> <C>
N/A
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</TABLE>
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
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FORM 3 (continued)
Table II -- Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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<TABLE>
<CAPTION>
5. Owner-
3. Title and Amount of Securities ship
Underlying Derivative Security Form of
2. Date Exercisable (Instr. 4) Derivative
and Expiration Date --------------------------------- 4. Conver- Security:
(Month/Day/Year) Amount sion or Direct 6. Nature of
---------------------- or Exercise (D) or Indirect
Date Expira- Number Price of Indirect Beneficial
1. Title of Derivative Exer- tion of Derivative (I) Ownership
Security (Instr. 4) cisable Date Title Shares Security (Instr. 5) (Instr. 5)
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<S> <C> <C> <C> <C> <C> <C> <C>
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Common Stock Option (1) 01/20/10 Common Stock, 50,000 $2.83 D N/A
$.001 par value
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Common Stock Option (2) 01/20/10 Common Stock, 50,000 $2.83 D N/A
$.001 par value
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</TABLE>
Explanation of Responses:
(1) Becomes exercisable as to 12,500 shares on January 21, 2001; becomes
exercisable as to 1,042 shares on the 21st of each month thereafter for 35
months; becomes exercisable as to 1,030 shares on December 21, 2004.
(2) Becomes exercisable as to 25,000 shares on the date, prior to January 1,
2001, that the Issuer derives revenues of $100,000 from the sale of its
product to a party other than to a strategic partner; becomes exercisable
as to 25,000 shares on the date, prior to October 10, 2001, on which Issuer
executes a strategic partnership agreement.
S/ Lawrence A. Reynolds 1/31/00
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Lawrence A. Reynolds 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.
