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Previous: DREYFUS LIFETIME PORTFOLIOS INC, N-30D, EX-99.A, 2000-12-08 |
Next: SUCCESSORIES INC, 10-Q, 2000-12-08 |
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
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIPcontinue. See Instruction 1(b)
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>
<C> <S> <S>
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Name and Address of Reporting Person Masterson Linda H. ____________________________________________________________ (Last) (First) (Middle) 10400 Trademark Street (Street) Rancho Cucamonga, CA 91730 City (State) (Zip) |
2. Issuer Name and Ticker or Trading Symbol LifePoint, Inc. - LFP |
6. Relationship of Reporting Person to Issuer (Check if Applicable) r Director ___ 10% Owner r Officer (give ___ Other (specify title below) below)
President and CEO |
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3. IRS or Social Security Number of Reporting Person (Voluntary) ###-##-#### |
4. Statement for Month/Year 11/00 |
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5. If Amendment, Date of Original (Month/Year) |
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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1. Title of Security (Instr. 3) |
2. Transaction Date (Month/Day/Year) |
3. Transaction Code (Instr. 8) |
4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
5. Amount of Securities Beneficially Owned at End of Month (Instr. 3 and 4) |
6. Owner-ship Form: Direct (D) or Indirect (I) (Instr. 4) |
7. Nature of Indirect Beneficially Ownership (Instr. 4) |
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Code |
V |
Amount |
(A) or (D) |
Price |
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Common Stock, $.001 par value |
11/30/00 |
A |
500,000 |
A |
$1.72 |
1,513,750 |
D |
N/A |
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Common Stock, $.001 par value |
11/30/00 |
A |
25,000 |
A |
$.50 |
1,538,750 |
D |
N/A |
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Common Stock, $.001 par value |
11/30/00 |
A |
30,000 |
A |
$1.67 |
1,568,750 |
D |
N/A |
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</TABLE>
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
Form 4 (continued) Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
<TABLE>
<C> <S> <S> <S> <S> <S> <S> <S> <S> <S> <S>
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1. Title of Derivative Security (Instr. 3) |
2. Conver- sion or Exercisable Price of Derivative Security
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3. Transaction Date (Month/Day/Year) |
4. Transaction Code (Instr. 8) |
5. Number of Derivation Securities Acquired (A) or Disposed of (D) (Instr. 3,4, and 5) |
6. Date Exercisable and Expiration Date (Month/Date/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned at end of month (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code |
V |
(A) |
(D) |
Date Exerci-sable |
Expira-tion Date |
Title |
Amount or Number of Shares |
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Common Stock Purchase Warrant |
$1.72 |
11/30/00 |
A |
0 |
500,000 |
(1) |
10/09/06 |
Common Stock |
500,000 |
0 |
1,976,250 |
D |
N/A |
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Stock Option |
$0.50 |
11/30/00 |
A |
0 |
18,750 |
(2) |
8/13/07 |
Common Stock |
56,250 |
0 |
1,957,500 |
D |
N/A |
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Stock Option |
$0.50 |
11/30/00 |
A |
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0 |
6,250 |
(3) |
6/29/08 |
Common Stock |
50,000 |
0 |
1,951,250 |
D |
N/A |
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Stock Option |
$1.67 |
11/30/00 |
A |
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0 |
30,000 |
(4) |
10/09/09 |
Common Stock |
120,000 |
0 |
1,921,250 |
D |
N/A |
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</TABLE>
Explanation of Responses:
(1) The option was exercisable if Issuer entered into a strategic partnership prior to October 10, 2001 and Reporting Person was CEO at such time.
month for 36 months thereafter.
thereafter and as to 1,030 shares on the 30th of the 36th month thereafter.
on the 10th of each month for 36th months thereafter.
<TABLE>
<C> <S>
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**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. LifePoint/Form 4 Pages 1&2 |
/s/ Linda H. Masterson 12/6/00 Signature of Reporting Person Date |
</TABLE>
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