4 1 pgfrm4.htm FORM 4 - PETER A. GOLD FORM 4

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 OWNERSHIP

continue. 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

Name and Address of Reporting Person

Gold Peter S.

(Last) (First) (Middle)

5 Beverly Park

(Street)

Beverly Hills CA 90210

City (State) (Zip)

2. Issuer Name and Ticker or Trading Symbol

LifePoint, Inc. - LFP

6. Relationship of Reporting Person to Issuer

(Check if Applicable)

a Director ___ 10% Owner

____ Officer (give ___ Other (specify

title below)

below)

 

 

 

3. IRS or Social Security Number of Reporting Person (Voluntary)

###-##-####

4. Statement for Month/Year

4/01

5. If Amendment, Date of Original (Month/Year)

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

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)
   

Code

V

Amount

(A) or

(D)

Price

      

Common Stock, $.001 par value

N/A

N/A

  

100,000

N/A

N/A

100,000

D

N/A

Common Stock, $.001 par value

N/A

N/A

  

600,000

N/A

N/A

600,000

I

Trustee and co-beneficiary of revocable Intervivos Trust

 

                  

 

 

                  

 

 

                  

 

 

                  

 

 

                  

 

 

                  

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)

1. Title of Derivative Security (Instr. 3)
  1. Conver- sion or Exerci-sable Price of Derivative Security

 

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)
     

Code

V

(A)

(D)

Date Exercisable

Expiration Date

Title

Amount or Number of Shares

        

Common Stock Options

$4.09

4/16/01

A

  

10,000

0

(1)

4/15/11

Common Stock

10,000

0

350,000

D

N/A

 

                            

 

 

                            

 

 

                            

 

 

                            

 

 

                            

 

 

                            

 

 

                            

 

 

                            

Explanation of Responses:

(1) Becomes exercisable as to 2500 shares on 4/16/02

becomes exercisable as to 214 shares on the 30th day

of each month for 35 months thereafter and become

exercisable as to 10 shares on the 30th day of the 36th

month thereafter.

/s/ Peter S. Gold 5/11/00

Peter S. Gold 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.