-----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, Qie6K2d1PmBornURip7gxvEORyXQHG1Kd/4VXnkjO9jsTcUXNUWEHZh0ZsGvTRcp gzd4BRpOv3oldWzDcJKoEw== 0000950123-08-016548.txt : 20081126 0000950123-08-016548.hdr.sgml : 20081126 20081126140853 ACCESSION NUMBER: 0000950123-08-016548 CONFORMED SUBMISSION TYPE: 8-K/A PUBLIC DOCUMENT COUNT: 5 CONFORMED PERIOD OF REPORT: 20080912 ITEM INFORMATION: Entry into a Material Definitive Agreement ITEM INFORMATION: Completion of Acquisition or Disposition of Assets ITEM INFORMATION: Financial Statements and Exhibits FILED AS OF DATE: 20081126 DATE AS OF CHANGE: 20081126 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AMERICAN CLAIMS EVALUATION INC CENTRAL INDEX KEY: 0000774517 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SOCIAL SERVICES [8300] IRS NUMBER: 112601199 STATE OF INCORPORATION: NY FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 8-K/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-14807 FILM NUMBER: 081217178 BUSINESS ADDRESS: STREET 1: 375 N BROADWAY STREET 2: ONE JERICHO PLAZA CITY: JERICHO STATE: NY ZIP: 11753 BUSINESS PHONE: 5169388000 MAIL ADDRESS: STREET 1: ONE JERICHO PLAZA CITY: JERICHO STATE: NY ZIP: 11753 8-K/A 1 y00663e8vkza.htm AMENDMENT TO FORM 8-K 8-K/A
Table of Contents

 
 
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 8-K/A
CURRENT REPORT
Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934
Date of Report (Date of earliest event reported): November 26, 2008 (September 12, 2008)
American Claims Evaluation, Inc.
(Exact name of registrant as specified in its charter)
         
New York
(State or other jurisdiction
of incorporation)
  0-14807
(Commission File Number)
  11-2601199
(IRS Employer Identification No.)
     
One Jericho Plaza, Jericho, New York       11753
(Address of principal executive offices)   (Zip Code)
Registrant’s telephone number, including area code: (516) 938-8000
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
o Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
o Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
o Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
o Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
 
 

 


TABLE OF CONTENTS

Item 1.01 Entry into a Material Definitive Agreement
Item 2.01 Completion of Acquisition or Disposition of Assets
Item 9.01 Financial Statements and Exhibits
SIGNATURES
Exhibit Index
EX-23.1: CONSENT OF HOLTZ RUBENSTEIN REMINICK LLP
EX-99.2: UNAUDITED BALANCE SHEET
EX-99.3: AUDITED BALANCE SHEETS
EX-99.4: UNAUDITED PRO FORMA CONSENSED CONSOLIDATED BALANCE SHEET


Table of Contents

EXPLANATORY NOTE
This Form 8-K/A amends the Current Report on Form 8-K of American Claims Evaluation, Inc. (“American Claims”) filed on September 16, 2008 (the “Report”) in connection with the consummation of the acquisition by the Company of all the issued and outstanding shares of Interactive Therapy Group Consultants, Inc. (“ITG”). The purpose of this amendment is to provide the financial statements of the business acquired as required by Item 9.01(a) and the pro forma financial information required by Item 9.01(b), which financial statements and information were excluded from the original filing in reliance on Items 9.01(a)(4) and 9.01(b)(2), respectively, of Form 8-K.
Item 1.01 Entry into a Material Definitive Agreement.
               See disclosure under Item 2.01 below.
Item 2.01 Completion of Acquisition or Disposition of Assets.
               Incorporated herein by reference to Item 2.01 of the Report.
Item 9.01 Financial Statements and Exhibits.
(a)   Financial statements of businesses acquired.
 
    Filed herewith are the financial statements of ITG for the requisite periods.
 
(b)   Pro Forma financial information.
 
    Filed herewith are the pro forma consolidated financial statements of American Claims and ITG.
 
(d)   Exhibits.
  10.10   Stock Purchase Agreement by and among American Claims Evaluation, Inc., John Torrens, Kyle Palin Torrens and Carlena Palin Torrens, dated September 12, 2008. (Filed as an exhibit to the Report and incorporated herein by reference).
 
  23.1   Consent of Holtz Rubenstein Reminick LLP.
 
  99.1   Press Release of American Claims Evaluation, Inc., dated September 16, 2008. (Filed as an exhibit to the Report and incorporated herein by reference).
 
  99.2   The Unaudited Balance Sheet of Interactive Therapy Group Consultants, Inc. as of June 30, 2008 and the related Statements of Operations and Accumulated Deficit and Cash Flows for the six months ended June 30, 2008 and 2007, and the notes thereto.
 
  99.3   The Audited Balance Sheets of Interactive Therapy Group Consultants, Inc. as of December 31, 2007 and 2006, and the related Statements of Operations and Accumulated Deficit and Cash Flows for the years then ended, and the notes thereto.
 
  99.4   The Unaudited Pro Forma Condensed Consolidated Balance Sheet of American Claims Evaluation, Inc. and Interactive Therapy Group Consultants, Inc. as of June 30, 2008 and the Unaudited Pro Forma Condensed Consolidated Statements of Operations for American Claims Evaluation, Inc. and Interactive Therapy Group Consultants, Inc. for the three months ended June 30, 2008 and for the year ended March 31, 2008, and the notes thereto.

2


Table of Contents

SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this amendment to its Current Report on Form 8-K to be signed on its behalf by the undersigned, hereunto duly authorized.
             
    AMERICAN CLAIMS EVALUATION, INC.    
 
Date: November 26, 2008   By:   /s/ Gary Gelman
 
   
    Gary Gelman    
    President and Chief Executive Officer    

3


Table of Contents

Exhibit Index
     
Exhibit No.   Description
 
   
Exhibit 23.1
  Consent of Holtz Rubenstein Reminick LLP
 
   
Exhibit 99.2
  The Unaudited Balance Sheet of Interactive Therapy Group Consultants, Inc. as of June 30, 2008 and the related Statements of Operations and Accumulated Deficit and Cash Flows for the six months ended June 30, 2008 and 2007, and the notes thereto.
 
   
Exhibit 99.3
  The Audited Balance Sheets of Interactive Therapy Group Consultants, Inc. as of December 31, 2007 and 2006, and the related Statements of Operations and Accumulated Deficit and Cash Flows for the years then ended, and the notes thereto.
 
   
Exhibit 99.4
  The Unaudited Pro Forma Condensed Consolidated Balance Sheet of American Claims Evaluation, Inc. and Interactive Therapy Group Consultants, Inc. as of June 30, 2008 and the Unaudited Pro Forma Condensed Consolidated Statements of Operations for American Claims Evaluation, Inc. and Interactive Therapy Group Consultants, Inc. for the three months ended June 30, 2008 and for the year ended March 31, 2008, and the notes thereto.

4

EX-23.1 2 y00663exv23w1.htm EX-23.1: CONSENT OF HOLTZ RUBENSTEIN REMINICK LLP EX-23.1
Exhibit 23.1
Consent of Independent Registered Public Accounting Firm
We consent to the incorporation by reference in the registration statements (No. 333-147442, No. 333-39071 and No. 333-136319) on Form S-8 of American Claims Evaluation, Inc. of our report dated June 24, 2008 on the consolidated balance sheet of American Claims Evaluation, Inc. which appears in the Current Report on Form 8-K/A of American Claims Evaluation, Inc. dated November 26, 2008.
/s/ Holtz Rubenstein Reminick LLP
Melville, New York
November 26, 2008

1

EX-99.2 3 y00663exv99w2.htm EX-99.2: UNAUDITED BALANCE SHEET EX-99.2
Exhibit 99.2
INTERACTIVE THERAPY GROUP CONSULTANTS, INC.
Balance Sheet (Unaudited)
         
    June 30, 2008  
Assets
       
 
Current assets:
       
Cash and cash equivalents
  $ 12,771  
Accounts receivable
    980,153  
Prepaid expenses
    60,441  
 
     
Total current assets
    1,053,365  
Property and equipment, net
    209,054  
Other assets
    18,565  
 
     
Total assets
  $ 1,280,984  
 
     
Liabilities and Stockholders’ Deficiency
       
 
       
Current liabilities:
       
Accounts payable
  $ 106,876  
Accrued expenses
    502,427  
Beacon Federal line of credit
    492,504  
Note payable — Beacon Federal
    116,277  
Note payable — Bankers Healthcare Group
    4,935  
Capital lease obligations — current
    21,488  
 
     
Total current liabilities
    1,244,507  
 
     
Long-term liabilities:
       
Note payable — Beacon Federal, net of current portion
    308,204  
Note payable — Bankers Healthcare Group, net of current portion
    48,078  
Capital lease obligations, net of current portion
    40,332  
 
     
Total long-term liabilities
    396,614  
 
     
 
       
Commitments
       
 
       
Stockholders’ deficiency:
       
Common stock, no par value. Authorized 200 shares; 51 shares issued and outstanding
     
Additional paid-in capital
    55,772  
Accumulated deficit
    (415,909 )
 
     
Total stockholders’ deficiency
    (360,137 )
 
     
Total liabilities and stockholders’ deficiency
  $ 1,280,984  
 
     
See accompanying notes to financial statements (unaudited).

F-1


 

INTERACTIVE THERAPY GROUP CONSULTANTS, INC.
Statements of Operations and Accumulated Deficit (Unaudited)
                 
    For the six months ended  
    June 30,  
    2008     2007  
Revenues
  $ 3,367,979     $ 2,991,536  
Cost of services
    2,211,161       2,034,995  
 
           
Gross profit
    1,156,818       956,541  
Selling, general and administrative expenses
    954,933       1,100,100  
 
           
Earnings (loss) from operations
    201,885       (143,559 )
Other expenses:
               
Interest expense
    58,078       39,365  
 
           
Net earnings (loss)
    143,807       (182,924 )
Accumulated deficit, beginning of period
    (559,716 )     (93,189 )
Distributions to stockholders
          (68,707 )
 
           
Accumulated deficit, end of period
  $ (415,909 )   $ (344,820 )
 
           
See accompanying notes to financial statements (unaudited).

F-2


 

INTERACTIVE THERAPY GROUP CONSULTANTS, INC.
Statements of Cash Flows (Unaudited)
                 
    For the six months ended  
    June 30,  
    2008     2007  
Cash flows from operating activities:
               
Net earnings (loss)
  $ 143,807     $ (182,924 )
Adjustments to reconcile net earnings (loss) to net cash provided by (used in) operating activities:
               
Depreciation
    85,379       37,304  
Changes in operating assets and liabilities:
               
Accounts receivable
    (296,876 )     65,775  
Prepaid expenses and other current assets
    (49,917 )     (17,673 )
Other assets
    (3,420 )      
Accounts payable
    (6,635 )     20,788  
Accrued expenses
    199,115       50,491  
 
           
Net cash provided by (used in) operating activities
    71,453       (26,239 )
 
           
Cash flows from investing activities:
               
Capital expenditures
    (35,151 )     (6,354 )
 
           
Net cash used in investing activities
    (35,151 )     (6,354 )
 
           
Cash flows provided by financing activities:
               
Borrowings under line of credit
    385,000       305,000  
Principal payments of long-term debt
    (659,096 )     (79,969 )
Net contributions (distributions) to stockholders
    55,772       (68,707 )
 
           
Net cash (used in) provided by financing activities
    (218,324 )     156,324  
 
           
Net (decrease) increase in cash and cash equivalents
    (182,022 )     123,731  
Cash and cash equivalents – beginning of period
    194,793       11,055  
 
           
Cash and cash equivalents – end of period
  $ 12,771     $ 134,786  
 
           
 
Supplemental disclosure:
               
Cash paid for interest
  $ 58,078     $ 39,365  
 
           
See accompanying notes to financial statements (unaudited).

F-3


 

Interactive Therapy Group Consultants, Inc.
Notes to Financial Statements (Unaudited)
Six Months Ended June 30, 2008 and 2007
(1)   Summary of Significant Accounting Policies
  (a)   Nature of Business
 
      Interactive Therapy Group Consultants, Inc. (the “Company”), formally CNY Speech-Language Consultants, Inc., founded in 1996, provides a comprehensive range of services to children with developmental delays and disabilities including diagnosis and treatment of speech and language pathology, occupational therapy, physical therapy, speech education and psychology to schools and preschools.
 
  (b)   Revenue Recognition
 
      The Company recognizes revenue for services rendered when there is evidence of billable time expended and recoverability is reasonably assured.
 
  (c)   Cash and Cash Equivalents
 
      All highly liquid investments with a maturity of three months or less at the date of purchase are considered to be cash equivalents.
 
  (d)   Property and Equipment
 
      Property and equipment are stated at cost, less accumulated depreciation. Depreciation is computed using the straight-line method over the estimated useful lives of the respective assets. Amortization of leasehold improvements is provided using the straight-line method over the shorter of the estimated life of the improvement or the term of the lease, whichever is shorter.
 
  (e)   Income Taxes
 
      For Federal and state income tax reporting purposes, the Company has elected “S” corporation status. This election provides that, in lieu of corporate income taxes, the stockholders are taxed on the Company’s taxable income on their respective individual income tax returns. Accordingly, there is no provision for Federal income taxes in the accompanying financial statements. The Company remains subject to certain state and local taxes.
 
  (f)   Concentration of Credit Risk
 
      Service revenue is concentrated with a limited number of clients throughout New York State; municipalities within New York State provide substantial and significant revenue to the Company. This concentration of customers may impact the Company’s overall exposure to credit risk, either positively or negatively, in that the Company’s customers may be similarly affected by changes in economic or other conditions in New York State.
 
  (g)   Use of Estimates
 
      The preparation of financial statements in conformity with accounting principles generally accepted in the United States of America requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reported period. Actual results could differ from those estimates.

F-4


 

Interactive Therapy Group Consultants, Inc.
Notes to Financial Statements (Unaudited)
Six Months Ended June 30, 2008 and 2007
(2)   Property and Equipment
 
    Property and equipment consists of the following at June 30, 2008:
                 
            Estimated  
            useful life  
Equipment and furniture
  $ 170,212     5 years
Capitalized leases
    162,680     5 years
Software
    232,002       5 to 10 years  
Leasehold improvements
    24,169     Life of lease
 
             
 
    589,063          
Less accumulated depreciation
    380,009          
 
             
 
  $ 209,054          
 
             
    Depreciation and amortization expense for the six months ended June 30, 2008 and 2007 amounted to $85,379 and $37,304, respectively.
 
(3)   Beacon Federal Line of Credit
 
    On September 14, 2007, the Company renegotiated its credit facility with Beacon Federal, a Federal savings association (the “Beacon Credit Facility”), to provide for a $700,000 revolving credit line. Borrowings under the Beacon Credit Facility may be used to restructure and replace existing lines of credit and/or to provide working capital to the Company. The Beacon Credit Facility is secured by a first priority perfected lien on the Company’s accounts receivable, general intangibles, equipment and chattel paper and the personal guarantee of the spouse of the Company’s majority stockholder. Borrowings bear interest at a variable rate based on the prime rate (5.0% and 8.75% at June 30, 2008 and 2007, respectively) plus 1.00%. As of June 30, 2008, the Company had $492,504 outstanding under the Beacon Credit Facility. The Beacon Credit Facility was paid in full on September 15, 2008.
 
(4)   Notes Payable – Beacon Federal
 
    On October 20, 2006, the Company entered into a five-year note payable in the amount of $600,000 payable in monthly installments of $12,083 plus interest at 7.60% per annum. The note is secured by all assets of the Company with personal guarantees from the majority shareholder and his spouse. As of June 30, 2008, the note payable had an outstanding balance of $424,481. The note payable to Beacon Federal was satisfied on September 15, 2008.
 
(5)   Bankers Healthcare Group — Note Payable
 
    On September 1, 2007, the Company entered into a seven-year note payable with Bankers Healthcare Group, Inc. in the amount of $55,817, including closing costs. The note is payable in monthly installments of $1,172 and bears interest at 18%. The note is secured by personal guarantees from the majority stockholder and his spouse. This note was repaid by the majority stockholder during September 2008.

F-5


 

Interactive Therapy Group Consultants, Inc.
Notes to Financial Statements (Unaudited)
Six Months Ended June 30, 2008 and 2007
(6)   Capital Lease Obligations
 
    Future minimum lease payments under capital leases for the remainder of the year ending December 31, 2008 and years ending thereafter as of June 30, 2008 are as follows:
         
2008
  $ 14,225  
2009
    21,523  
2010
    21,523  
2011
    14,074  
 
     
Total minimum lease payments
    71,345  
Less: Amounts representing interest
    (9,525 )
 
     
Present value of minimum lease payments
    61,820  
Less: Current portion
    (21,488 )
 
     
Long-term portion of capital leases
  $ 40,332  
 
     
(7)   Major Customers
 
    During the six months ended June 30, 2008 and 2007, the Company had four customers that accounted for 18% and 16%, 17% and 19%, 15% and 22%, and 14% and 15% of revenues, respectively.
 
(8)   Retirement Plan
 
    The Company sponsors a retirement plan pursuant to Section 401(k) of the Internal Revenue Code of 1986, as amended (the “Code”), for all employees meeting certain service requirements. Participants may contribute a percentage of compensation not to exceed the maximum allowed under the Code. The Company did not make any matching contributions during the six months ended June 30, 2008 and 2007.
 
(9)   Commitments and Contingencies
  (a)   Legal Matters
 
      The New York State Insurance Fund has alleged that the Company has not paid premiums in the amount of $81,354. This claim is presently in review and arises over a dispute over the proper classification of employees for workers compensation purposes. The Company has retained counsel to appeal the proper classification of employees before the New York State Compensation Ratings Board. The Company is of the opinion that the ultimate disposition of this matter will not have a material adverse effect on its financial position.
 
  (b)   Operating Leases
 
      Rental expense under leases for office space with expiration through April 2013 amounted to $74,290 and $136,848 for the six months ended June 30, 2008 and 2007, respectively. Rental expense for the six months ended June 30, 2007 includes $65,440 paid to a related party. Minimum lease payments under noncancelable operating leases for the remainder of the year ending December 31, 2008 and for each of the five succeeding years and in the aggregate under these leases as of June 30, 2008 are as follows:

F-6


 

Interactive Therapy Group Consultants, Inc.
Notes to Financial Statements (Unaudited)
Six Months Ended June 30, 2008 and 2007
         
2008
  $ 76,000  
2009
    148,000  
2010
    117,000  
2011
    55,000  
2012
    55,000  
thereafter
    18,000  
 
     
Total minimum lease payments
  $ 469,000  
 
     
(10)   Subsequent Events
 
    On September 12, 2008, the Company was sold to American Claims Evaluation, Inc., a publicly-traded company whose stock is listed on the NASDAQ Capital Market (symbol “AMCE”), pursuant to a Stock Purchase Agreement for $570,000 in cash.

F-7

EX-99.3 4 y00663exv99w3.htm EX-99.3: AUDITED BALANCE SHEETS EX-99.3
Exhibit 99.3
To the Board of Directors of
Interactive Therapy Group Consultants, Inc.
We have audited the accompanying balance sheets of Interactive Therapy Group Consultants, Inc. (an S corporation) as of December 31, 2007 and 2006 and the related statements of operations and accumulated deficit and cash flows for the years then ended. These financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on these financial statements based on our audits.
We conducted our audits in accordance with auditing standards generally accepted in the United States of America. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion.
In our opinion, the financial statements referred to above present fairly, in all material respects, the financial position of Interactive Therapy Group Consultants, Inc. as of December 31, 2007 and 2006, and the results of its operations and its cash flows for the years then ended in conformity with accounting principles generally accepted in the United States of America.
/s/ Christopher L. Rauscher, C.P.A., P.C.
Fayetteville, NY
June 3, 2008

F-8


 

INTERACTIVE THERAPY GROUP CONSULTANTS, INC.
Balance Sheets
                 
    December 31,  
    2007     2006  
Assets
               
 
Current assets:
               
Cash and cash equivalents
  $ 194,793     $ 11,055  
Accounts receivable
    683,277       965,515  
Prepaid expenses and other current assets
    10,524       10,524  
 
           
Total current assets
    888,594       987,094  
Property and equipment, net
    259,282       355,577  
Other assets
    15,145       23,973  
 
           
Total assets
  $ 1,163,021     $ 1,366,644  
 
           
Liabilities and Stockholders’ Deficiency
               
 
Current liabilities:
               
Accounts payable
  $ 113,511     $ 121,526  
Accrued expenses
    303,312       399,681  
Beacon Federal line of credit
    698,285       195,000  
Note payable — Beacon Federal
    111,816       102,295  
Note payable — Bankers Healthcare Group
    4,587        
Capital lease obligations — current
    29,986       50,910  
 
           
Total current liabilities
    1,261,497       869,412  
 
           
Long-term liabilities:
               
Note payable — Beacon Federal, net of current portion
    367,512       480,910  
Note payable — Bankers Healthcare Group, net of current portion
    50,208        
Capital lease obligations, net of current portion
    43,520       109,511  
 
           
Total long-term liabilities
    461,240       590,421  
 
           
 
Commitments
               
 
Stockholders’ deficiency:
               
Common stock, no par value. Authorized 200 shares; 51 shares issued and outstanding
           
Accumulated deficit
    (559,716 )     (93,189 )
 
           
Total stockholders’ deficiency
    (559,716 )     (93,189 )
 
           
Total liabilities and stockholders’ deficiency
  $ 1,163,021     $ 1,366,644  
 
           
See accompanying notes to financial statements.

F-9


 

INTERACTIVE THERAPY GROUP CONSULTANTS, INC.
Statements of Operations and Accumulated Deficit
                 
    For the years ended  
    December 31,  
    2007     2006  
Revenues
  $ 5,694,683     $ 6,937,909  
Cost of services
    3,977,999       5,287,073  
 
           
Gross profit
    1,716,684       1,650,836  
Selling, general and administrative expenses
    2,022,583       1,752,941  
 
           
Loss from operations
    (305,899 )     (102,105 )
Other expenses:
               
Interest expense
    88,199       59,027  
 
           
Net loss
    (394,098 )     (161,132 )
Retained earnings (Accumulated deficit), beginning of year
    (93,189 )     199,924  
Distributions to stockholders
    (72,429 )     (131,981 )
 
           
Accumulated deficit, end of year
  $ (559,716 )   $ (93,189 )
 
           
See accompanying notes to financial statements.

F-10


 

INTERACTIVE THERAPY GROUP CONSULTANTS, INC.
Statements of Cash Flows
                 
    For the years ended  
    December 31,  
    2007     2006  
Cash flows from operating activities:
               
Net loss
  $ (394,098 )   $ (161,132 )
Adjustments to reconcile net loss to net cash used in operating activities:
               
Depreciation
    84,374       74,608  
Changes in operating assets and liabilities:
               
Accounts receivable
    282,238       (610,093 )
Prepaid expenses and other current assets
          1,063  
Other assets
    8,828       (12,974 )
Accounts payable
    (8,013 )     84,103  
Accrued expenses
    (96,368 )     (216,844 )
 
           
Net cash used in operating activities
    (123,039 )     (841,269 )
 
           
Cash flows from investing activities:
               
Capital expenditures
    (21,656 )     (85,085 )
 
           
Net cash used in investing activities
    (21,656 )     (85,085 )
 
           
Cash flows provided by financing activities:
               
Net proceeds from notes payable
    400,862       742,531  
Distributions to shareholders
    (72,429 )     (131,981 )
 
           
Net cash provided by financing activities
    328,433       610,550  
 
           
Net increase (decrease) in cash and cash equivalents
    183,738       (315,804 )
Cash and cash equivalents — beginning of year
    11,055       326,859  
 
           
Cash and cash equivalents — end of year
  $ 194,793     $ 11,055  
 
           
 
               
Supplemental disclosure:
               
Cash paid for interest
  $ 88,199     $ 59,027  
 
           
See accompanying notes to financial statements.

F-11


 

Interactive Therapy Group Consultants, Inc.
Notes to Financial Statements
Years Ended December 31, 2007 and 2006
(1)   Summary of Significant Accounting Policies
  (a)   Nature of Business
 
      Interactive Therapy Group Consultants, Inc. (the “Company”), formally CNY Speech-Language Consultants, Inc., founded in 1996, provides a comprehensive range of services to children with developmental delays and disabilities including diagnosis and treatment of speech and language pathology, occupational therapy, physical therapy, speech education and psychology to schools and preschools.
 
  (b)   Revenue Recognition
 
      The Company recognizes revenue for services rendered when there is evidence of billable time expended and recoverability is reasonably assured.
 
  (c)   Cash and Cash Equivalents
 
      All highly liquid investments with a maturity of three months or less at the date of purchase are considered to be cash equivalents. From time to time, the Company invests its excess cash in money market accounts that are stated at cost and approximate market value.
 
  (d)   Property and Equipment
 
      Property and equipment are stated at cost, less accumulated depreciation. Depreciation is computed using the straight-line method over the estimated useful lives of the respective assets. Amortization of leasehold improvements is provided using the straight-line method over the shorter of the estimated life of the improvement or the term of the lease, whichever is shorter.
 
  (e)   Income Taxes
 
      For Federal and state income tax reporting purposes, the Company has elected “S” corporation status. This election provides that, in lieu of corporate income taxes, the stockholders are taxed on the Company’s taxable income on their respective individual income tax returns. Accordingly, there is no provision for Federal income taxes in the accompanying combined financial statements. The Company remains subject to certain state and local taxes.
 
  (f)   Concentration of Credit Risk
 
      Service revenue is concentrated with a limited number of clients throughout New York State; municipalities within New York State provide substantial and significant revenue to the Company. This concentration of customers may impact the Company’s overall exposure to credit risk, either positively or negatively, in that the Company’s customers may be similarly affected by changes in economic or other conditions in New York State.
 
  (g)   Use of Estimates
 
      The preparation of financial statements in conformity with accounting principles generally accepted in the United States of America requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at

F-12


 

Interactive Therapy Group Consultants, Inc.
Notes to Financial Statements
Years Ended December 31, 2007 and 2006
      the date of the financial statements and the reported amounts of revenues and expenses during the reported period. Actual results could differ from those estimates.
(2)   Property and Equipment
 
    Property and equipment consists of the following at December 31, 2007 and 2006:
                     
                    Estimated
    2007     2006     useful life
Equipment and furniture
  $ 154,268     $ 160,066     5 years
Capitalized leases
    162,680       196,256     5 years
Software
    232,002       218,811     5 to 15 years
Leasehold improvements
    4,962           2 years
 
               
 
    553,912       575,133      
Less accumulated depreciation
    (294,630 )     (219,556 )    
 
               
 
  $ 259,282     $ 355,577      
 
               
    Depreciation and amortization expense for the years ended December 31, 2007 and 2006 amounted to $84,374 and $74,608, respectively.
 
(3)   Beacon Federal Line of Credit
 
    On September 14, 2007, the Company re-negotiated its credit facility with Beacon Federal, a Federal savings association (the “Beacon Credit Facility”), to provide for a $700,000 revolving credit line. The facility expires on December 15, 2008, as amended. Borrowings under the Beacon Credit Facility may be used to restructure and replace existing lines of credit and/or to provide working capital to the Company. The Beacon Credit Facility contains customary event-of-default provisions and is secured by a first priority perfected lien on the Company’s accounts receivable, general intangibles, equipment and chattel paper and the personal guarantee of the spouse of the Company’s majority stockholder. Borrowings bear interest at a variable rate based on the published prime rate plus 1.00%. As of December 31, 2007, the Company had $698,285 outstanding under the Beacon Credit Facility.
 
(4)   Notes Payable — Beacon Federal
 
    On October 20, 2006, the Company entered into a five-year note payable in the amount of $600,000, payable in monthly installments of $12,083 plus interest at 7.60% per annum. The note is secured by all assets of the Company with personal guarantees from the majority stockholder and his spouse. As of December 31, 2007, the note payable had an outstanding balance of $479,328.
 
(5)   Note Payable — Bankers Healthcare Group
 
    On September 1, 2007, the Company entered into a seven-year note payable with Bankers Healthcare Group, Inc. in the amount of $55,817, including closing costs. The note is payable in monthly installments of $1,172 and bears interest at 18%. The note is secured by personal guarantees from the majority shareholder and his spouse.

F-13


 

Interactive Therapy Group Consultants, Inc.
Notes to Financial Statements
Years Ended December 31, 2007 and 2006
(6)   Capital Lease Obligations
 
    Future minimum lease payments under capital leases as of December 31, 2007 are as follows:
         
2008
  $ 31,915  
2009
    21,523  
2010
    21,523  
2011
    9,383  
 
     
Total minimum lease payments
    84,344  
Less: Amounts representing interest
    (10,838 )
 
     
Present value of minimum lease payments
    73,506  
Less: Current portion
    (29,986 )
 
     
Long-term portion of capital leases
  $ 43,520  
 
     
(7)   Related Party Transactions
 
    The Company rented office space for its corporate headquarters from KC Ventures LLC (“KCV”), a sole member New York State Limited Liability Company owned by the spouse of the Company’s majority stockholder, at a fixed cost which approximated fair market value. Rent expense paid to KCV for the years ended December 31, 2007 and 2006 was $117,440 and $100,250, respectively. KCV sold this property in January 2008.
 
(8) Major Customers
 
    During the years ended December 31, 2007 and 2006, the Company had three customers that accounted for 20% and 23%, 17% and 21% and 17% and 15% of revenues, respectively. In addition, the Company had a fourth customer that accounted for 17% of revenues during the year ended December 31, 2007.
 
(9)   Retirement Plan
 
    The Company sponsors a retirement plan pursuant to Section 401(k) of the Internal Revenue Code of 1986, as amended (the “Code”), for all employees meeting certain service requirements. Participants may contribute a percentage of compensation not to exceed the maximum allowed under the Code. The Company did not make any matching contributions during the years ended December 31, 2007 and 2006.
 
(10)   Commitments and Contingencies
  (a)   Legal Matters
 
      The New York State Insurance Fund has alleged that the Company has not paid premiums in the amount of $81,354. This claim is presently in review and arises over a dispute over the proper classification of employees for workers compensation purposes. The Company has retained counsel to appeal the proper classification of employees before the New York State Compensation Ratings Board. The Company is of the opinion that the ultimate disposition of this matter will not have a material adverse effect on its financial position.

F-14


 

Interactive Therapy Group Consultants, Inc.
Notes to Financial Statements
Years Ended December 31, 2007 and 2006
  (b)   Operating Leases
 
      Rental expense under leases for office space that expire in April 2013 amounted to $262,262 and $242,240, inclusive of rent expense of $117,440 and $100,250 paid to a related party, for the years ended December 31, 2007 and 2006, respectively. Minimum lease payments under noncancelable operating leases for each of the five succeeding years and in the aggregate under these leases as of December 31, 2007 are as follows:
         
2008
  $ 143,000  
2009
    148,000  
2010
    117,000  
2011
    55,000  
2012
    55,000  
thereafter
    18,000  
 
     
Total minimum lease payments
  $ 536,000  
 
     
(11)   Subsequent Events
 
    The majority shareholder of the Company has entered into a Letter of Intent to sell all of the shares of outstanding stock of the Company to a publicly-traded entity pursuant to the execution and delivery of a definitive Stock Purchase Agreement. The transaction is expected to be completed in September 2008.

F-15

EX-99.4 5 y00663exv99w4.htm EX-99.4: UNAUDITED PRO FORMA CONSENSED CONSOLIDATED BALANCE SHEET EX-99.4
Exhibit 99.4
American Claims Evaluation, Inc.
Introduction to Pro Forma Condensed Consolidated Financial Statements
Effective September 12, 2008, American Claims Evaluation, Inc. (“American Claims”) completed the acquisition of Interactive Therapy Group Consultants, Inc. (“ITG”) for a purchase price of $570,000. The accompanying unaudited pro forma condensed consolidated balance sheet as of June 30, 2008 gives effect to the acquisition of ITG as if it occurred on June 30, 2008.
The following unaudited pro forma condensed consolidated statements of operations for the three months ended June 30, 2008 and for the fiscal year ended March 31, 2008 combine the results of operations for American Claims with the results of operations for ITG, as if the acquisition of ITG had occurred on April 1, 2008 and April 1, 2007, respectively. ITG’s most recent fiscal year end was December 31, 2007, but has been brought to American Claims’ fiscal year end of March 31, 2008. This has been accomplished by adding ITG’s subsequent interim period ended March 31, 2008 to the most recent year end information and deducting the comparable preceding year interim period results.
These unaudited pro forma condensed consolidated financial statements should be read in conjunction with the historical financial statements and notes thereto of American Claims included in its Annual Report on Form 10-KSB for the fiscal year ended March 31, 2008 and the Quarterly Report on Form 10-Q for the three month period ended June 30, 2008, which are incorporated by reference in this Form 8-K/A; and the accompanying Notes to the Unaudited Pro Forma Condensed Consolidated Financial Statements.
The unaudited pro forma condensed consolidated financial statements reflect adjustments for pro forma events that are (1) directly attributable to the ITG acquisition, (2) factually supportable, and (3) expected to have a continuing impact on the combined results. The unaudited pro forma financial statements were prepared using the purchase method of accounting with American Claims treated as the acquiring company. American Claims purchased all of the outstanding shares of ITG. Accordingly, the consideration paid by American Claims to complete the acquisition has been allocated preliminarily to the assets and liabilities acquired based on their estimated fair values as of the acquisition date. Any amount paid in excess has been treated as acquisition of goodwill.
Provisions of Statement of Financial Accounting Standards (“SFAS”) No. 141, “Business Combinations”, establish criteria for determining when intangible assets should be recognized separately from goodwill. SFAS No. 142, “Goodwill and Other Intangible Assets”, also provides, among other guidelines, that goodwill and intangible assets with indefinite lives will not be amortized, but rather tested for impairment on at least an annual basis. American Claims is in the process of identifying intangible assets arising on account of this acquisition and will re-allocate the goodwill once this determination is complete.
The unaudited pro forma condensed consolidated statements of operations are presented for illustrative purposes only and are not indicative of what the expected results of operations of American Claims would have been had the acquisition been completed on the dates indicated above. Further, the unaudited pro forma condensed consolidated financial statements do not reflect one-time costs to fully merge and operate the combined organizations more efficiently or anticipated synergies expected to result from the combination. You should not rely on the unaudited pro forma condensed consolidated statements of operations as being indicative of the historical results that would have been achieved had the companies always been combined or the future results that American Claims will experience.

F-16


 

AMERICAN CLAIMS EVALUATION, INC. AND SUBSIDIARY
Unaudited Pro Forma Condensed Consolidated Balance Sheet
June 30, 2008
                                     
    Historical                  
    (as reported)                  
    American             Pro Forma            
    Claims     ITG     Adjustments     Notes   Pro Forma  
Assets
                                   
Current assets:
                                   
Cash and cash equivalents
  $ 6,141,468     $ 12,771     $ (570,000 )   (a)   $ 5,584,239  
Accounts receivable
          980,153                 980,153  
Current assets of discontinued operations
    87,467                       87,467  
Prepaid expenses
    24,997       60,441       127,124     (d)     212,562  
 
                           
Total current assets
    6,253,932       1,053,365       (442,876 )         6,864,421  
 
                                   
Property and equipment, net
    86,027       209,054                 295,081  
Goodwill
                750,000     (a,b)     750,000  
Non-current assets of discontinued operations
    11,450                       11,450  
Other assets
          18,565                 18,565  
 
                           
Total assets
  $ 6,351,409     $ 1,280,984     $ 307,124         $ 7,939,517  
 
                           
 
                                   
Liabilities and Stockholders’ Equity
                                   
Current liabilities:
                                   
Accounts payable
  $ 40,937     $ 106,876     $         $ 147,813  
Accrued expenses
    116,812       502,427                 619,239  
Beacon Federal line of credit
          492,504                 492,504  
Note payable — Beacon Federal
          116,277                 116,277  
Note payable — Bankers Healthcare Group
          4,935       (4,935 )   (c)      
Capital leases obligations — current
          21,488                 21,488  
Current liabilities of discontinued operations
    23,391                       23,391  
 
                           
Total current liabilities
    181,140       1,244,507       (4,935 )         1,420,712  
 
                           
 
                                   
Long-term liabilities:
                                   
Note payable — Beacon Federal, net of current portion
          308,204                 308,204  
Note payable — Bankers Healthcare Group, net of current portion
          48,078       (48,078 )   (c)      
Capital lease obligations, net of current portion
          40,332                 40,332  
 
                           
Total long-term liabilities
          396,614       (48,078 )         348,536  
 
                           
 
                                   
Commitments
                                   
 
                                   
Stockholders’ equity:
                                   
Common stock
    50,500                       50,500  
Additional paid-in capital
    4,946,699       55,772       (55,772 )         4,946,699  
Retained earnings (Accumulated deficit)
    1,634,911       (415,909 )     415,909     (d)     1,634,911  
 
                           
 
    6,632,110       (360,137 )     360,137           6,632,110  
Treasury stock, at cost
    (461,841 )                     (461,841 )
 
                           
Total stockholders’ equity
    6,170,269       (360,137 )     360,137           6,170,269  
 
                           
Total liabilities and stockholders’ equity
  $ 6,351,409     $ 1,280,984     $ 307,124         $ 7,939,517  
 
                           

F-17


 

AMERICAN CLAIMS EVALUATION, INC. AND SUBSIDIARY
Unaudited Pro Forma Condensed Consolidated Statement of Operations
For the three months ended June 30, 2008
                                     
    Historical                  
    (as reported)                  
    American             Pro Forma            
    Claims     ITG     Adjustments     Notes   Pro Forma  
Revenues
  $     $ 1,725,220     $         $ 1,725,220  
Cost of services
          1,153,664                 1,153,664  
 
                           
 
                                   
Gross margin
          571,556                 571,556  
 
                                   
Selling, general and administrative expenses
    207,111       443,850       27,000     (e)     677,961  
 
                           
 
                                   
Operating earnings (loss) from continuing operations
    (207,111 )     127,706       (27,000 )         (106,405 )
 
                                   
Interest expense
          (24,541 )     1,100     (g)     (23,441 )
Interest income
    41,799             (3,900 )   (f)     37,899  
 
                           
 
                                   
Earnings (loss) from continuing operations
    (165,312 )     103,165       (29,800 )         (91,947 )
 
                                   
Discontinued operations:
                                   
Loss from discontinued operations
    (5,828 )                     (5,828 )
 
                           
 
                                   
Net earnings (loss)
  $ (171,140 )   $ 103,165     $ (29,800 )       $ (97,775 )
 
                           
 
                                   
Net loss per share — basic and diluted
  $ (0.04 )                       $ (0.02 )
 
                               
 
                                   
Weighted average shares — basic and diluted
    4,761,800                           4,761,800  
 
                               

F-18


 

AMERICAN CLAIMS EVALUATION, INC. AND SUBSIDIARY
Unaudited Pro Forma Condensed Consolidated Statement of Operations
For the year ended March 31, 2008
                                     
    Historical                  
    (as reported)                  
    American             Pro Forma            
    Claims     ITG     Adjustments     Notes   Pro Forma  
Revenues
  $     $ 5,902,406     $         $ 5,902,406  
Cost of services
          4,069,414                 4,069,414  
 
                           
 
                                   
Gross margin
          1,832,992                 1,832,992  
 
                                   
Selling, general and administrative expenses
    990,113       1,990,779       108,000     (e)     3,088,892  
 
                           
 
                                   
Operating loss from continuing operations
    (990,113 )     (157,787 )     (108,000 )         (1,255,900 )
 
                                   
Interest expense
          (96,374 )     1,800     (c,g)     (94,574 )
Interest income
    331,027             (30,200 )   (f)     300,827  
 
                           
 
                                   
Loss from continuing operations
    (659,086 )     (254,161 )     (136,400 )         (1,049,647 )
 
                                   
Discontinued operations:
                                   
Loss from discontinued operations
    (12,723 )                     (12,723 )
 
                           
 
                                   
Net loss
  $ (671,809 )   $ (254,161 )   $ (136,400 )       $ (1,062,370 )
 
                           
 
                                   
Net loss per share — basic and diluted
  $ (0.14 )                       $ (0.22 )
 
                               
 
                                   
Weighted average shares — basic and diluted
    4,761,800                           4,761,800  
 
                               

F-19


 

American Claims Evaluation, Inc.
Notes to Unaudited Pro Forma Condensed Consolidated Financial Statements
a.   The business combination was accounted for using the purchase method of accounting and, accordingly, the purchase price was preliminarily allocated to assets acquired and liabilities assumed based on fair values at the date of acquisition as follows:
         
Cash
  $ 1,625  
Accounts receivable
    1,144,011  
Prepaid expenses
    41,432  
 
     
Total current assets
    1,187,068  
 
Property and equipment
    198,612  
Other assets
    18,565  
 
     
 
Total assets acquired
  $ 1,404,245  
 
     
 
Accounts payable
    157,339  
Accrued expenses
    305,000  
Bank debt
    1,105,356  
Capital lease obligations
    56,849  
 
     
 
Total liabilities assumed
  $ 1,624,544  
 
     
 
Net assets acquired
  $ (220,299 )
 
     
 
The purchase price has been calculated as follows:
       
Total purchase price
  $ 570,000  
Anticipated recovery from former owner per terms of the Stock Purchase Agreement
    (40,299 )
 
     
 
  $ 529,701  
 
     
 
Excess of the purchase price over the net assets acquired (Goodwill)
  $ 750,000  
 
     
b.   The Company allocated the excess of the purchase price over the net assets acquired to goodwill. The Company is in the process of identifying intangible assets arising as a result of this transaction. The identified intangible assets, if any, will be assigned values and amortized over their respective useful lives for assets with finite lives. Intangible assets with finite lives will be tested for impairment annually. The goodwill of $750,000 will be adjusted accordingly for intangible assets recognized during this process. The pro forma information does not include the effect of amortization expense, if any, arising on account of identifying intangible assets.
 
c.   To eliminate liabilities excluded from transaction.
 
d.   To eliminate shareholders’ deficiency as of June 30, 2008 and to record potential recovery from former ITG shareholders per terms of the stock purchase agreement whereby the purchase price is subject to positive or negative adjustment based on the final determination of the tangible net worth of ITG as of the close of business on the closing date.
 
e.   To reflect additional compensation expense that will be incurred as a result of a signed employment agreement entered into with the former majority shareholder of ITG.
 
f.   Estimated interest income adjustment to reflect the use of cash towards payment of the purchase price as a result of the acquisition.
 
g.   Estimated interest expense adjustment to reflect reduction in interest expense on liabilities excluded from transaction.
 
h.   The Company estimates that there would be no tax effect for the pro forma adjustments due to the existence of net operating losses available to the Company.

F-20

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