-----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, OfXEAxma9v+5rs8G3ABI615u5gPyxLN+tDtjyvqoypy3QVjxuFAfV9Zr8p0fOYpV UiElCQLn8E4EORvGq+RK0Q== 0001019687-05-000263.txt : 20050202 0001019687-05-000263.hdr.sgml : 20050202 20050202215533 ACCESSION NUMBER: 0001019687-05-000263 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050131 FILED AS OF DATE: 20050202 DATE AS OF CHANGE: 20050202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Chaudhuri Kali P CENTRAL INDEX KEY: 0001305503 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23511 FILM NUMBER: 05571248 BUSINESS ADDRESS: BUSINESS PHONE: (951) 782-8812 MAIL ADDRESS: STREET 1: 6800 INDIANA AVENUE #130 CITY: RIVERSIDE STATE: CA ZIP: 92506 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Integrated Healthcare Holdings CENTRAL INDEX KEY: 0001051488 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS ELECTRICAL MACHINERY, EQUIPMENT & SUPPLIES [3690] IRS NUMBER: 870412182 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 695 TOWN CENTER DRIVE STREET 2: SUITE 260 CITY: COSTA MESA STATE: CA ZIP: 92626 BUSINESS PHONE: 714-434-9191 MAIL ADDRESS: STREET 1: 695 TOWN CENTER DRIVE STREET 2: SUITE 260 CITY: COSTA MESA STATE: CA ZIP: 92626 FORMER COMPANY: FORMER CONFORMED NAME: FIRST DELTAVISION INC DATE OF NAME CHANGE: 19971216 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2005-01-31 1 0001051488 Integrated Healthcare Holdings IHCH.OB 0001305503 Chaudhuri Kali P 6800 INDIANA AVENUE, SUITE 130 RIVERSIDE, CA 92506 0 0 1 0 Common Stock Option (Right to Buy) .30 2005-01-31 4 J 0 50000000 D 2009-11-16 Common Stock 50000000 0 D Secured Convertible Promissory Note .0031 2005-01-31 4 J 0 160000000 D 2004-09-28 2005-09-29 Common Stock 160000000 0 D Stock Purchase Warrant (Right to Buy) 2005-01-31 4 J 0 60000000 A 2007-01-31 2008-07-21 Common Stock 60000000 0 D The option was granted pursuant to the First Amendment to Secured Convertible Note Purchase Agreement dated as of November 16, 2004 between the issuer and the reporting person. The Secured Convertible Promissory Note ("Note") was granted pursuant to the Secured Convertible Note Purchase Agreement dated as of September 28, 2004 between the issuer and the reporting person. The option and the Note were rescinded and cancelled pursuant to the Rescission, Restructuring, and Assignment Agreement dated January 31, 2005 ("Rescission Agreement") between the issuer, the reporting person and certain other parties. The reporting person was issued the Stock Purchase Warrant pursuant to the Rescission Agreement. The option would have become exercisable in whole or in part at any time on or after the date that Anil V. Shah, M.D. or his assignee or designee exercises the first tranche of an option as provided in Section 1.1(a) of a Purchase Option Agreement dated as of November 16, 2004 between the issuer and Dr. Shah. The exercise price for the first 34,538,153 shares purchased is $0.003125 per share. The exercise price for the remainder of the shares is $0.078 per share if exercised between 1/31/2007 and 7/30/2007, $0.11 per share if exercised between 7/31/2007 and 1/30/2008, and $0.15 per share thereafter. The warrant will not vest and become exercisable within 60 days after the date of this statement. Kali P. Chaudhuri 2005-02-02 -----END PRIVACY-ENHANCED MESSAGE-----