U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
FORM 4
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
[_] Check this box if no longer subject to Section 16. Form 4 or Form 5
obligations may continue. See Instruction 1(b)
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Name and Address of Reporting Person
Masterson Linda H.
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(Last) (First) (Middle)
10400 Trademark Street
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(Street)
Rancho Cucamonga, CA 91730
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City (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
LifePoint, Inc. - LFP
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3. IRS or Social Security Number of Reporting Person
(Voluntary)
###-##-####
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4. Statement for Month/Year
10/00
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5. If Amendment, Date of Original (Month/Year)
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6. Relationship of Reporting Person to Issuer
(Check if Applicable)
[X] Director [_] 10% Owner
[X] Officer (give title below) [_] Other (specify
President and CEO
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<PAGE>
<TABLE>
<CAPTION>
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
<S> <C> <C> <C>
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------------------------------ ----------------- ------------------ --------------------------------
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)
------------------------------ ----------------- ---------- ------- ----------- --------- ----------
------------------------------ ----------------- ---------- ------- ----------- --------- ----------
Common Stock, $.001 par value N/A N/A N/A
------------------------------ ----------------- ---------- ------- ----------- --------- ----------
------------------------------ ----------------- ---------- ------- ----------- --------- ----------
------------------------------ ----------------- ---------- ------- ----------- --------- ----------
------------------------------ ----------------- ---------- ------- ----------- --------- ----------
---------------- ----------- --------------- -------------------------------------------------------
5. Amount of 6. Owner- 7. Nature of
Securities ship Form: Indirect
Beneficially Direct Beneficially
Owned at End (D) or Ownership
of Month Indirect (Instr. 4)
(Instr. 3 and (I)
4) (Instr. 4)
--------------- ----------- --------------- -------------------------------------------------------
--------------- ----------- --------------- -------------------------------------------------------
--------------- ----------- --------------- -------------------------------------------------------
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1,013,750 D N/A
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
</TABLE>
<PAGE>
<TABLE>
Form 4 (continued)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
<S> <C> <C> <C> <C> <C> <C>
---------------------------- ------------- ------------- --------------- --------------- ---------------- -------------------------
1. Title of Derivative 2. 3. 4. 5. Number of 6. Date 7. Title and Amount of
Security (Instr. 3) Conver- Transaction Transaction Derivation Exercisable Underlying Securities
sion Date Code (Instr. Securities and Expiration (Instr. 3 and 4)
or (Month/Day/ Acquired (A) Date
Exercisable Year) or Disposed (Month/Date/Year)
Price of (D)
of (Instr. 3,4,
Derivative and 5)
Security
---------------------------- ------------- ------------- --------------- --------------- ---------------- -------------------------
---------------------------- ------------- ------------- ------- ------- -------- ------ -------- ------- ------------ ------------
Code V (A) (D) Date Expira- Title Amount or
Exerci- tion Number of
sable Date Shares
---------------------------- ------------- ------------- ------- ------- -------- ------ -------- ------- ------------ ------------
---------------------------- ------------- ------------- --------------- --------------- ---------------- ------------ ------------
Stock Option $6.00 10/20/00 A 120,000 0 (1) 10/19/10 Common 120,000
Stock
---------------------------- ------------- ------------- --------------- --------------- ---------------- -------------------------
---------------------------- ------------- ------------- --------------- --------------- ---------------- -------------------------
------------- ------------- ----------- -----------
8. Price of 9. Number 10. 11.
Derivative of Ownership Nature of
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)
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0 2,476,250 D N/A
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</TABLE>
Explanation of Responses:
(1) The option become exercisable as to 30,000 shares on 10/20/01 and as to
2500 shares on the 20th of each month thereafter for 36 months
thereafter.
/s/ Linda H. Masterson 11/8/00
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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.
