INTEGRATED MEDICAL RESOURCES INC
8-K, 1998-04-14
MISC HEALTH & ALLIED SERVICES, NEC
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                       UNITED STATES
            SECURITIES AND EXCHANGE COMMISSION

                  Washington, D.C. 20549

                                         

                         FORM 8-K

                      CURRENT REPORT
Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934


Date of Report (Date of earliest event reported) March 31, 1998     

            INTEGRATED MEDICAL RESOURCES, INC.

- -----------------------------------------------------------
  (Exact name of registrant as specified in its charter)

       Kansas                     0-21427                  48-1096410
____________________________   _______________________    __________________
(State or other jurisdiction   Commission File Number)    IRS Employer
 of incorporation)                                        Identification No.)

       11320 West 79th Street, Lenexa, Kansas  66214

- -----------------------------------------------------------
      (Address of principal executive offices)  (Zip Code)

Registrant's telephone number, including area code:  (913) 962-7201

                            N/A

- -----------------------------------------------------------
(Former name or former address, if changed since last report.)



                             1

<PAGE>


ITEM 5:  Other Events

  On March 31, 1998,  Kardatzke  Management,  Inc. ("KMI") invested  $500,000 in
stock of Integrated  Medical  Resources,  Inc.  (the  "Company") by exercising a
portion of its  initial  option to  purchase  shares of the common  stock of the
Company.  The Company issued 232,558 shares of common stock to KMI in connection
with that option exercise.

  KMI has four options to purchase  shares of common stock at  increasing  share
prices and with staggered  exercise  dates as a part of a financing  transaction
with the Company. The financing arrangement was originally entered into on March
5, 1998,  when KMI loaned the Company  $1,600,000  at an  interest  rate of 8.5%
pursuant  to  a  Note  Purchase   Agreement  ("Note  Purchase   Agreement")  and
Convertible Note ("Note").  In general, the exercise of each option is dependent
on the  exercise of the earlier  options and the exercise of the first option is
dependent  on the  conversion  of the  Note.  However,  in  connection  with the
$500,000 partial option exercise, the Company and KMI amended certain provisions
to the Note Purchase Agreement and Note to facilitate such exercise. The Company
also  waived the  requirement  that KMI's  initial  option be  exercised  in its
entirety  and that  conversion  of the Note  precede  exercise  of such  option.
Notwithstanding  this waiver, the remaining  unexercised  portion of the initial
option may only be exercised in its  entirety and only after  conversion  of the
Note.




                             2
<PAGE>

ITEM 7:  Exhibits

Exhibit       Description

   4(f)(i)    Amendment No. 1 to Note Purchase Agreement by and between KMI and
              the Company, dated as of March 31, 1998.

   4(g)(i)    Waiver and Amendment of Convertible Note by and between the
              Company and KMI, dated as of March 31, 1998.






                             3

<PAGE>

                       SIGNATURES

  Pursuant to the  requirements  of the  Securities  Exchange  Act of 1934,  the
registrant  has duly  caused  this  report  to be  signed  on its  behalf by the
undersigned hereunto duly authorized.

                           INTEGRATED MEDICAL RESOURCES, INC.
                                (Registrant)

  
April 14, 1998             By:  /s/ Beverly O. Elving                        
                           __________________________________________________
                           Beverly O. Elving
                           Chief Financial Officer and Vice President,
                           Finance and Administration
                           (Authorized Officer and Principal Financial and
                           Accounting Officer)



                             4
<PAGE>

                       EXHIBIT INDEX


Exhibit
Number        Description

4(f)(i)       Amendment No. 1 to Note Purchase Agreement by and between KMI and
              the Company, dated as of March 31, 1998.

4(g)(i)       Waiver and Amendment of Convertible Note by and between the
              Company and KMI, dated as of March 31, 1998.




                                       5

<PAGE>


                                 EXHIBIT 4(f)(i)


                   AMENDMENT NO. 1 TO NOTE PURCHASE AGREEMENT

  This Amendment No. 1 (this "Amendment") dated as of March 31, 1998, is entered
into between Kardatzke Management, Inc. (the  "Purchaser") and Integrated
Medical Resources, Inc. (the "Company").

  WHEREAS,  the  Purchaser  and the Company  have  previously  entered into that
certain Note Purchase  Agreement  dated as of March 5,  1998 (together with this
Amendment, the "Purchase Agreement"); and

  WHEREAS,  the  Purchaser  and the  Company  desire  to amend  the terms of the
Purchase  Agreement by the provisions of this Amendment.  All capitalized  terms
not  otherwise  defined  herein shall have the meaning set forth in the Purchase
Agreement.

  NOW,  THEREFORE,  in  consideration  of  the  mutual  promises  and  covenants
contained herein, the parties hereto agree as follows:

  1. The definition of Shares in the Purchase Agreement shall include any shares
of Common  Stock  purchased  by the  Purchaser  pursuant to the  exercise of any
options to purchase  Common Stock in accordance with the terms and provisions of
the Note.

  2. Section 7 of the Purchase Agreement is hereby amended to read as follows:

The  Company and the  Purchaser  agree that,  upon  conversion  of the Note to
Shares pursuant to its terms and the investment by the Purchaser of an aggregate
of an additional  $1,000,000 pursuant to the exercise of options under the Note,
the  Company and  E. Stanley  Kardatzke  will  execute an  Employment  Agreement
mutually agreed upon by the parties and the Board will appoint  Dr. Kardatzke as
Chairman of the Board and Chief Executive Officer of the Company.

  3. Except as expressly set forth herein,  all other provisions of the Purchase
Agreement remain in full force and effect.




<PAGE>

     IN WITNESS WHEREOF, the undersigned have hereunto set their hands as of
the day and year first above written.

                           INTEGRATED MEDICAL RESOURCES, INC.


                           By:      /s/ Troy A. Burns                         
                           __________________________________________________
                           Name:  Troy A. Burns
                           Title:    CEO


                           KARDATZKE MANAGEMENT, INC.



                           By:     /s/ E. Stanley Kardatzke                   
                           __________________________________________________
                           Name: E. Stanley Kardatzke
                           Title:  Chairman and CEO



                                       2


<PAGE>

                                 EXHIBIT 4(g)(i)

                              WAIVER AND AMENDMENT

                                 March 31, 1998

  Integrated  Medical  Resources,  Inc. (the "Company") hereby waives compliance
with certain  provisions of and amends  certain  provisions of that  Convertible
Note in the principal amount of $1,600,000, dated March 5, 1998 as follows:

  4. The Company hereby waives the requirement of Section 6.6(a) that the entire
option set forth therein be exercised in its entirety and that conversion of the
Convertible Note precede exercise of such option,  PROVIDED,  HOWEVER, that this
waiver is limited to allowing  the Holder to exercise a portion of the option in
Section 6.6(a)  in the amount of $500,000,  with an exercise price of $2.15,  on
the date hereof. Pursuant to such exercise, the Company will issue to the Holder
232,558  Shares of Common Stock (the  "Initial  Option  Shares").  The remaining
$500,000  of  shares  that  may  be  purchased  pursuant  to  the  option  under
Section 6.6(a)  must be purchased by the exercise of such option in its entirety
in accordance with  Section 6.6(a)  and only after conversion of the Convertible
Note.

  5. The Holder acknowledges that the Initial Option Shares have not been listed
with the Nasdaq Stock Market.  The Company will use its reasonable  best efforts
to list the  Initial  Option  Shares as soon as  practicable  and to provide the
Holder  with a  certificate  representing  the  Initial  Option  Shares from the
Company's transfer agent, bearing the appropriate restrictive legends.

6. All other provisions of the Convertible Note remain in full force and effect.

  IN WITNESS WHEREOF,  the Company has exercised this waiver amendment as of the
date first above written.

                           INTEGRATED MEDICAL RESOURCES, INC.


                           By:         /s/ Troy A. Burns                      
                           __________________________________________________
                           Name:     Troy A. Burns
                           Title:       CEO

Acknowledged and agreed to
as of March 31, 1998

KARDATZKE MANAGEMENT, INC.


By:        /s/ E. Stanley Kardatzke        
__________________________________________
Name:    E. Stanley Kardatzke
Title:     Chairman and CEO


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