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OMB APPROVAL
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OMB Number 3235-0287
Expires: December 31, 2001
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U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 4
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 or
Section 30(f) of the Investment Company Act of 1940
[X] 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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1. Name and Address of Reporting Person*
John Hancock Life Insurance Company
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(Last) (First) (Middle)
P.O. Box 111
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(Street)
Boston MA 02117
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
R.H. Phillips, Inc. (RHPS)
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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)
N/A
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6. Relationship of Reporting Person to Issuer
(Check all applicable)
[_] Director [X] 10% Owner
[_] Officer (give title below) [_] Other (specify below)
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7. Individual or Joint/Group Filing
(Check applicable line)
[X] Form filed by One Reporting Person
[_] Form filed by More than one Reporting Person
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Table I -- Non-Derivative Securities Acquired, Disposed of,
or Beneficially Owned
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<PAGE>
<TABLE>
<CAPTION>
6.
4. Owner-
Securities Acquired (A) or ship
Disposed of (D) 5. Form: 7.
(Instr. 3, 4 and 5) Amount of Direct Nature of
2. 3. ----------------------------- Securities (D) or Indirect
1. Transaction Transaction (A) Beneficially Indirect Beneficial
Title of Security Date Code Amount or Price Owned at End (I) Ownership
(Instr. 3) (Month/Day/Year) (Instr. 8) (D) of Month (Instr.4) (Instr. 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C>
Common Stock 10/4/00 U 375,962 D 7.00 0 D
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12% Senior Redeemable Preferred
Stock (non-voting) 3/15/99 J (1) 500,000 D (1) 0 D
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Redeemable Exchangeable Preferred
Stock 3/15/99 J (1) 250,000 A (1) D
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Redeemable Exchangeable Preferred
Stock 3/15/00 J (2) 250,000 D (2) 0 D
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</TABLE>
* If the form is filed by more than one reporting person, see Instruction
4(b)(v).
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
(Print or Type Responses)
(Over)
SEC 1474 (3/99)
Page 1 of 2
<PAGE>
FORM 4 (continued)
Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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<TABLE>
<CAPTION>
9. 10.
Number Owner-
of ship
2. Deriv- of
Conver- 5. 7. ative Deriv- 11.
sion Number of Title and Amount Secur- ative Nature
or Derivative 6. of Underlying 8. ities Secur- of
Exer- Securities Date Securities Price Bene- ity: In-
cise 3. Acquired (A) Exercisable and (Instr. 3 and 4) of ficially Direct direct
Price Trans- 4. or Disposed Expiration Date ---------------- Deriv- Owned (D) or Bene-
1. of action Trans- of (D) (Month/Day/Year) Amount ative at End In- ficial
Title of Deriv- Date action (Instr. 3, ---------------- or Secur- of direct Owner-
Derivative ative (Month/ Code 4 and 5) Date Expira- Number ity Month (I) ship
Security Secur- Day/ (Instr. ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr.
(Instr. 3) ity Year) 8) (A) (D) cisable Date Title Shares 5) 4) 4) 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
Common
Warrants 10/4/00 U 1,346,788 3/27/97 3/27/06 Stock 1,346,788 7.00 0 D
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</TABLE>
(1) In March 1996, John Hancock Life Insurance Company ("JHLICO") purchased
500,000 shares of Senior Preferred Redeemable stock ("Senior Preferred Stock").
In March 1999, JHLICO exchanged the Senior Preferred Stock for $2,500,000 in
aggregate principal amount 14% Unsecured Subordinate Debt and 250,000 shares of
Redeemable Exchangeable Preferred Stock.
(2) In March of 2000, John Hancock Life Insurance Company converted 250,000
shares of Redeemable Exchangeable Preferred stock into $2,500,000 in aggregate
principal amount 14% Unsecured Subordinate Debt.
** 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.
JOHN HANCOCK LIFE INSURANCE COMPANY
By:/s/Marion L. Nierintz
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Marion L. Nierintz Date
Second Vice President
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