-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, IvMs38IEyxPuePxdNpPBsMQMb1P8YyhaikeL+KeJL3K7vQc7LIm5WW1EyHCfO+0y ItGmeuv0PizsmWrgsVNNhA== 0000935836-99-000320.txt : 19991117 0000935836-99-000320.hdr.sgml : 19991117 ACCESSION NUMBER: 0000935836-99-000320 CONFORMED SUBMISSION TYPE: SC 13D/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19991116 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: PROVIDENT AMERICAN CORP CENTRAL INDEX KEY: 0000768892 STANDARD INDUSTRIAL CLASSIFICATION: ACCIDENT & HEALTH INSURANCE [6321] IRS NUMBER: 232214195 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D/A SEC ACT: SEC FILE NUMBER: 005-38359 FILM NUMBER: 99758834 BUSINESS ADDRESS: STREET 1: 2500 DEKALB PIKE CITY: NORRISTOWN STATE: PA ZIP: 19404 BUSINESS PHONE: 6102792500 MAIL ADDRESS: STREET 1: 2500 DEKALB PIKE STREET 2: PO BOX 511 CITY: NORRISTOWN STATE: PA ZIP: 19404-0511 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: LYNX CAPITAL GROUP LLC CENTRAL INDEX KEY: 0001065630 STANDARD INDUSTRIAL CLASSIFICATION: [] IRS NUMBER: 580367118 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D/A BUSINESS ADDRESS: STREET 1: 2601 FAIR OAKS BOULEVARD CITY: SACRAMENTO STATE: CA ZIP: 95864 BUSINESS PHONE: 9164866411 MAIL ADDRESS: STREET 1: 2601 FAIR OAKS BOULEVARD CITY: SACRAMENTO STATE: CA ZIP: 95864 SC 13D/A 1 OMB APPROVAL OMB Number:3235-0145 Expires: August 31, 1999 Estimated average burden hours per form 14.90 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13D Under the Securities Exchange Act of 1934 (Amendment No. 4) Provident American Corporation (Name of Issuer) Common Stock (Title of Class of Securities) 743832107 (CUSIP Number) Christopher J. Rupright, Esq. Shartsis Friese & Ginsburg LLP One Maritime Plaza, 18th Floor San Francisco, CA 94111 (415) 421-6500 (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) November 3, 1999 (Date of Event which Requires Filing of this Statement) If the filing person has previously filed a statement on Schedule 13G to report the acquisition which is the subject of this Schedule 13D, and is filing this schedule because of Rule 13d-1(e), 13d-1(f) or 13d-1(g), check the following box / /. Note: Schedules filed in paper format shall include a signed original and five copies of the schedule, including all exhibits. See Rule 13d-7(b) for other parties to whom copies are to be sent. * The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page. The information required on the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. SEC 1746 (10-97) CUSIP No. 743832107 Page 2 of 13 Pages - --------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON IRS IDENTIFICATION NO. OF ABOVE PERSON Lynx Capital Group, LLC - --------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) /XX/ (b) / / - --------------------------------------------------------------------------- 3 SEC USE ONLY - --------------------------------------------------------------------------- 4 SOURCE OF FUNDS* AF - --------------------------------------------------------------------------- 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e) / / - --------------------------------------------------------------------------- 6 CITIZENSHIP OR PLACE OF ORGANIZATION California - --------------------------------------------------------------------------- NUMBER OF 7 SOLE VOTING POWER SHARES -0- BENEFICIALLY -------------------------------------------------- OWNED BY 8 SHARED VOTING POWER EACH 323,300 REPORTING -------------------------------------------------- PERSON 9 SOLE DISPOSITIVE POWER WITH -0- -------------------------------------------------- 10 SHARED DISPOSITIVE POWER 323,300 - --------------------------------------------------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 323,300 - --------------------------------------------------------------------------- 12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* / / - --------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 2.6 - --------------------------------------------------------------------------- 14 TYPE OF REPORTING PERSON* OO and IA CUSIP No. 743832107 Page 3 of 13 Pages - --------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON IRS IDENTIFICATION NO. OF ABOVE PERSON Michael Ashker - --------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) /XX/ (b) / / - --------------------------------------------------------------------------- 3 SEC USE ONLY - --------------------------------------------------------------------------- 4 SOURCE OF FUNDS* AF and PF - --------------------------------------------------------------------------- 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e) / / - --------------------------------------------------------------------------- 6 CITIZENSHIP OR PLACE OF ORGANIZATION United States - --------------------------------------------------------------------------- NUMBER OF 7 SOLE VOTING POWER SHARES 394,776 BENEFICIALLY -------------------------------------------------- OWNED BY 8 SHARED VOTING POWER EACH 323,300 REPORTING -------------------------------------------------- PERSON 9 SOLE DISPOSITIVE POWER WITH 394,776 -------------------------------------------------- 10 SHARED DISPOSITIVE POWER 323,300 - --------------------------------------------------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 718,076 - --------------------------------------------------------------------------- 12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* / / - --------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 5.7 - --------------------------------------------------------------------------- 14 TYPE OF REPORTING PERSON* IN CUSIP No. 743832107 Page 4 of 13 Pages - --------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON IRS IDENTIFICATION NO. OF ABOVE PERSON Van Kasper & Company - --------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) /XX/ (b) / / - --------------------------------------------------------------------------- 3 SEC USE ONLY - --------------------------------------------------------------------------- 4 SOURCE OF FUNDS* AF - --------------------------------------------------------------------------- 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e) / / - --------------------------------------------------------------------------- 6 CITIZENSHIP OR PLACE OF ORGANIZATION California - --------------------------------------------------------------------------- NUMBER OF 7 SOLE VOTING POWER SHARES -0- BENEFICIALLY -------------------------------------------------- OWNED BY 8 SHARED VOTING POWER EACH 175,000 REPORTING -------------------------------------------------- PERSON 9 SOLE DISPOSITIVE POWER WITH -0- -------------------------------------------------- 10 SHARED DISPOSITIVE POWER 175,000 - --------------------------------------------------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 175,000 - --------------------------------------------------------------------------- 12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* / / - --------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 1.4 - --------------------------------------------------------------------------- 14 TYPE OF REPORTING PERSON* BD and CO CUSIP No. 743832107 Page 5 of 13 Pages - --------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON IRS IDENTIFICATION NO. OF ABOVE PERSON Lynx Tech Fund, L.P. - --------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) /XX/ (b) / / - --------------------------------------------------------------------------- 3 SEC USE ONLY - --------------------------------------------------------------------------- 4 SOURCE OF FUNDS* WC - --------------------------------------------------------------------------- 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e) / / - --------------------------------------------------------------------------- 6 CITIZENSHIP OR PLACE OF ORGANIZATION California - --------------------------------------------------------------------------- NUMBER OF 7 SOLE VOTING POWER SHARES -0- BENEFICIALLY -------------------------------------------------- OWNED BY 8 SHARED VOTING POWER EACH 323,300 REPORTING -------------------------------------------------- PERSON 9 SOLE DISPOSITIVE POWER WITH -0- -------------------------------------------------- 10 SHARED DISPOSITIVE POWER 323,300 - --------------------------------------------------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 323,300 - --------------------------------------------------------------------------- 12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* / / - --------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 2.6 - --------------------------------------------------------------------------- 14 TYPE OF REPORTING PERSON* PN CUSIP No. 743832107 Page 6 of 13 Pages - --------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON IRS IDENTIFICATION NO. OF ABOVE PERSON Edward W. LeBaron, Jr. - --------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) /XX/ (b) / / - --------------------------------------------------------------------------- 3 SEC USE ONLY - --------------------------------------------------------------------------- 4 SOURCE OF FUNDS* AF - --------------------------------------------------------------------------- 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e) / / - --------------------------------------------------------------------------- 6 CITIZENSHIP OR PLACE OF ORGANIZATION United States - --------------------------------------------------------------------------- NUMBER OF 7 SOLE VOTING POWER SHARES 38,571 BENEFICIALLY -------------------------------------------------- OWNED BY 8 SHARED VOTING POWER EACH -0- REPORTING -------------------------------------------------- PERSON 9 SOLE DISPOSITIVE POWER WITH 38,571 -------------------------------------------------- 10 SHARED DISPOSITIVE POWER -0- - --------------------------------------------------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 38,571 - --------------------------------------------------------------------------- 12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* / / - --------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 0.3 - --------------------------------------------------------------------------- 14 TYPE OF REPORTING PERSON* IN CUSIP No. 743832107 Page 7 of 13 Pages - --------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON IRS IDENTIFICATION NO. OF ABOVE PERSON Kenneth Brown - --------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) /XX/ (b) / / - --------------------------------------------------------------------------- 3 SEC USE ONLY - --------------------------------------------------------------------------- 4 SOURCE OF FUNDS* AF - --------------------------------------------------------------------------- 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e) / / - --------------------------------------------------------------------------- 6 CITIZENSHIP OR PLACE OF ORGANIZATION United States - --------------------------------------------------------------------------- NUMBER OF 7 SOLE VOTING POWER SHARES 5,000 BENEFICIALLY -------------------------------------------------- OWNED BY 8 SHARED VOTING POWER EACH -0- REPORTING -------------------------------------------------- PERSON 9 SOLE DISPOSITIVE POWER WITH 5,000 -------------------------------------------------- 10 SHARED DISPOSITIVE POWER -0- - --------------------------------------------------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 5,000 - --------------------------------------------------------------------------- 12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* / / - --------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 0.04 - --------------------------------------------------------------------------- 14 TYPE OF REPORTING PERSON* IN CUSIP No. 743832107 Page 8 of 13 Pages - --------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON IRS IDENTIFICATION NO. OF ABOVE PERSON Deidre Holt - --------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) /XX/ (b) / / - --------------------------------------------------------------------------- 3 SEC USE ONLY - --------------------------------------------------------------------------- 4 SOURCE OF FUNDS* AF - --------------------------------------------------------------------------- 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e) / / - --------------------------------------------------------------------------- 6 CITIZENSHIP OR PLACE OF ORGANIZATION United States - --------------------------------------------------------------------------- NUMBER OF 7 SOLE VOTING POWER SHARES 28,949 BENEFICIALLY -------------------------------------------------- OWNED BY 8 SHARED VOTING POWER EACH -0- REPORTING -------------------------------------------------- PERSON 9 SOLE DISPOSITIVE POWER WITH 28,949 -------------------------------------------------- 10 SHARED DISPOSITIVE POWER -0- - --------------------------------------------------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 28,949 - --------------------------------------------------------------------------- 12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* / / - --------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 0.2 - --------------------------------------------------------------------------- 14 TYPE OF REPORTING PERSON* IN CUSIP No. 743832107 Page 9 of 13 Pages ITEM 1. SECURITY AND ISSUER. This statement relates to shares of Common Stock (the "Stock") of Provident American Corporation, a Pennsylvania corporation ("PAC"). The principal executive office of PAC is located at 2500 DeKalb Pike, Norristown, Pennsylvania 19404-0511. ITEM 2. IDENTITY AND BACKGROUND. The persons filing this statement and the persons enumerated in Instruction C of Schedule 13D and, where applicable, their respective places of organization, general partners, directors, executive officers and controlling persons, and the information regarding them, are as follows: (a) Lynx Capital Group, LLC, a California limited liability company ("LCG"), Van Kasper & Company, a California corporation ("VK"),Lynx Tech Fund, L.P. ("LTF"), a California limited partnership, Edward W. LeBaron, Jr. ("LeBaron"), Kenneth Brown ("Brown"), Deidre Holt ("Holt") and Michael Ashker ("Ashker"). (b) The business address of LCG, LTF, LeBaron, Brown and Holt is 2601 Fair Oaks Boulevard, Sacramento, CA 95864. The business address of Ashker is 2500 DeKalb Pike, Norristown, PA 19404-0511. The business address of VK is 600 California St., Suite 1700, San Francisco, CA 94108-2704. (c) LCG is the investment adviser to and a general partner of LTF, an investment limited partnership. Ashker is the sole manager of LCG. LeBaron and Brown are members of LCG. Holt is a consultant to LCG. VK is a broker-dealer of which Brown is a registered representative. (d) During the last five years, none of such persons has been convicted in a criminal proceeding (excluding traffic violations or similar misdemeanors). (e) During the last five years, none of such persons was a party to a civil proceeding of a judicial or administrative body of competent jurisdiction and as a result of such proceeding was or is subject to a judgment, decree or final order enjoining future violations of, or prohibiting or mandating activities subject to, federal or state securities laws or finding any violation with respect to such laws. (f) Ashker, Brown, Holt and LeBaron are citizens of the United States of America. CUSIP No. 743832107 Page 10 of 13 Pages ITEM 3. SOURCE AND AMOUNT OF FUNDS OR OTHER CONSIDERATION. The source and amount of funds used in purchasing the Stock were as follows: Purchaser Source of Funds Amount LCG Funds Under Management (1) $1,141,090 LTF Working Capital $1,141,090 VK Discretionary Brokerage Accounts $ 690,725 Ashker Personal Funds $ 275,690 Brown Personal Funds $ -0- LeBaron Personal Funds $ 119,707 Holt Personal Funds $ 7,000 (1) Consists of funds of LTF invested in Stock. ITEM 4. PURPOSE OF TRANSACTION. The Reporting Persons have acquired the Stock for investment purposes. In addition, Ashker is the president and a member of the board of directors of PAMC. LeBaron is also a member of the board of directors of PAMC. ITEM 5. INTEREST IN SECURITIES OF THE ISSUER. The beneficial ownership of the Stock of the persons named in Item 2 of this statement is as follows at the date hereof: Aggregate Beneficially Owned Voting Power Dispositive Power Name Number Percent Sole Shared Sole Shared LCG 323,300 2.6 -0- 323,300 -0- 323,300 Ashker 718,076 5.7 394,776 323,300 394,776 323,300 VK 175,000 1.4 -0- 175,000 -0- 175,000 LTF 323,300 2.6 -0- 323,300 -0- 323,300 LeBaron 38,571 0.3 38,571 -0- 38,571 -0- Brown 5,000 0.04 5,000 -0- 5,000 -0- Holt 28,949 0.2 28,949 -0- 28,949 -0- CUSIP No. 743832107 Page 11 of 13 Pages On November 3, 199, Lynx HealthTech Fund, LLC, a California limited liability company, distributed 127,900 shares of Stock to its members. In connection with that distribution, LCG received 9,796 shares of Stock and concurrently distributed 7,347 shares of Stock to Ashker as a member of LCG and paid 2,449 shares of Stock to Holt for services rendered to LCG. On November 3, 1999, Lynx Private Equity Partners I, LLC, a California limited liability company, distributed 250,000 shares of Stock to its members as follows: Number of Shares Name 200,000 LTF 21,429 Ashker 28,571 LeBaron. On November 11, 1999, LCG distributed to its members and paid for services rendered the following options to purchase shares of Stock: Options to Purchase Name 300,000 Ashker 5,000 Brown 25,000 Holt 45,000 Two individuals no longer affiliated with LCT. ITEM. 6. CONTRACTS, ARRANGEMENTS, UNDERSTANDINGS OR RELATIONSHIPS WITH RESPECT TO SECURITIES OF THE ISSUER. LCG is the general partner of LTF, pursuant to a limited partnership agreement providing to LCG the authority, among other things, to invest the funds of LTF in Stock, to vote and dispose of Stock and to file this statement on behalf of LTF. Pursuant to such limited partnership agreement, the general partner of LTF is entitled to allocations based on assets under management and/or realized and unrealized gains. VK has discretion over certain brokerage accounts that are invested in Stock. CUSIP No. 743832107 Page 12 of 13 Pages ITEM 7. MATERIAL TO BE FILED AS EXHIBITS. A. Agreement Regarding Joint Filing of Statement on Schedule 13D or 13G (previously filed). SIGNATURES After reasonable inquiry and to the best of my knowledge, I certify that the information set forth in this statement is true, complete and correct. DATED: November 15, 1999 LYNX CAPITAL GROUP, LLC LYNX TECH FUND, L.P. By: Michael Ashker By: LYNX CAPITAL GROUP, LLC Manager By: Michael Ashker VAN KASPER & COMPANY Manager By: John Chung General Counsel Michael Ashker Edward E. LeBaron, Jr. Kenneth Brown Deidre Holt CUSIP No. 743832107 Page 13 of 13 Pages EXHIBIT A AGREEMENT REGARDING JOINT FILING OF STATEMENT ON SCHEDULE 13D OR 13G The undersigned agree to file jointly with the Securities and Exchange Commission (the "SEC") any and all statements on Schedule 13D or Schedule 13G (and any amendments or supplements thereto) required under section 13(d) of the Securities Exchange Act of 1934, as amended, in connection with purchases by the undersigned of Common Stock of Provident American Corporation. For that purpose, the undersigned hereby constitute and appoint Lynx Capital Group, LLC, a California limited liability company, as their true and lawful agent and attorney-in-fact, with full power and authority for and on behalf of the undersigned to prepare or cause to be prepared, sign, file with the SEC and furnish to any other person all certificates, instruments, agreements and documents necessary to comply with section 13(d) and section 16(a) of the Securities Exchange Act of 1934, as amended, in connection with said purchases, and to do and perform every act necessary and proper to be done incident to the exercise of the foregoing power, as fully as the undersigned might or could do if personally present. DATED: November 15, 1999 LYNX CAPITAL GROUP, LLC LYNX TECH FUND, L.P. By: Michael Ashker By: LYNX CAPITAL GROUP, LLC Manager By: Michael Ashker VAN KASPER & COMPANY Manager By: John Chung General Counsel Michael Ashker Edward E. LeBaron, Jr. Kenneth Brown Deidre Holt CJR\4450\012\1073058.01 -----END PRIVACY-ENHANCED MESSAGE-----