-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: keymaster@town.hall.org Originator-Key-Asymmetric: MFkwCgYEVQgBAQICAgADSwAwSAJBALeWW4xDV4i7+b6+UyPn5RtObb1cJ7VkACDq pKb9/DClgTKIm08lCfoilvi9Wl4SODbR1+1waHhiGmeZO8OdgLUCAwEAAQ== MIC-Info: RSA-MD5,RSA, cX7HHIw/9URgaKQm6TLf5NDbcFLr4JtOqZuveu3cZGmBO3dYBDi+G7Gw6m0sNj3g Plg/aSU3RboUlfoeiMeNMg== 0000925328-94-000009.txt : 19941101 0000925328-94-000009.hdr.sgml : 19941101 ACCESSION NUMBER: 0000925328-94-000009 CONFORMED SUBMISSION TYPE: SC 13D PUBLIC DOCUMENT COUNT: 2 FILED AS OF DATE: 19941031 SROS: NONE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: FHP INTERNATIONAL CORP CENTRAL INDEX KEY: 0000793499 STANDARD INDUSTRIAL CLASSIFICATION: 8011 IRS NUMBER: 330072502 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: SC 13D SEC ACT: 1934 Act SEC FILE NUMBER: 005-38056 FILM NUMBER: 94556115 BUSINESS ADDRESS: STREET 1: 9900 TALBERT AVE CITY: FOUNTAIN VALLEY STATE: CA ZIP: 92708 BUSINESS PHONE: 7149637233 FORMER COMPANY: FORMER CONFORMED NAME: FHP CORP DATE OF NAME CHANGE: 19870201 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: DYER ELLIS JOSEPH & MILLS P C CENTRAL INDEX KEY: 0000925328 STANDARD INDUSTRIAL CLASSIFICATION: STATE OF INCORPORATION: DC FILING VALUES: FORM TYPE: SC 13D BUSINESS ADDRESS: STREET 1: WATERGATE STREET 2: 600 NEW HAMSHIRE AVE NW STE 1000 CITY: WASHINGTON STATE: DC ZIP: 20037 BUSINESS PHONE: 2029443000 MAIL ADDRESS: STREET 1: DYER ELLIS JOSEPH & MILLS PC STREET 2: 600 NEW HAMPSHIRE AVE NW STE 1000 CITY: WASHINGTON STATE: DC ZIP: 20039 SC 13D 1 SCHEDULE 13D FILED FOR JACK R. ANDERSON UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13D UNDER THE SECURITIES EXCHANGE ACT OF 1934 (AMENDMENT NO. _________)* FHP International Corporation ______________________________ (Name of Issuer) Common Stock _______________________________________________ (Title of Class of Securities) 302426 10 1 (CUSIP Number) Jack R. Anderson, 14755 Preston Road, Suite 515, Dallas, TX 75240 _________________________________________________________________ (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) October 21, 1994 _____________________________ (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(b)(3) or (4), check the following box [ ]. Check the following box if a fee is being paid with the statement [X]. (A fee is not required only if the reporting person: (1) has a previous statement on file reporting beneficial ownership of more than five percent of the class of securities described in Item 1; and (2) has filed no amendment subsequent thereto reporting beneficial ownership of five percent or less of such class.) (See Rule 13d-7.) Note: Six copies of this statement, including all exhibits, should be filed with the Commission. See Rule 13d-1(a) 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 the prior cover page. CUSIP No. 302426 10 1 13D Page 2 of 7 pages 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 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.) CUSIP No. 302426 10 1 13D Page 3 of 7 pages 1. NAME OF PERSON Jack R. Anderson 2. CHECK THE APPROPRIATE BOX IF MEMBER OF A GROUP* (a) [ ] (b) [ ] 3. SEC USE ONLY 4. SOURCE OF FUNDS* OO 5. CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e). [ ] N/A 6. CITIZENSHIP OR PLACE OR ORGANIZATION United States of America 7. SOLE VOTING POWER 423,356 shares of Common Stock and an estimated 1,137,463 shares of Common Stock issuable upon conversion of Series A Cumulative Convertible Preferred Stock NUMBER OF SHARES 8. SHARED VOTING POWER BENEFICIALLY OWNED BY 137,202 shares of Common Stock and EACH REPORTING PERSON an estimated 368,823 shares of WITH Common Stock issuable upon conversion of Series A Cumulative Convertible Preferred Stock owned by Mr. Anderson's wife; 90,000 shares of Common Stock and an estimated 361,290 shares of Common Stock issuable upon conversion of Series A Cumulative Convertible Preferred Stock owned by a charitable foundation of which Mr. Anderson is a member of the board of directors. Mr. Anderson disclaims beneficial ownership of all shares owned by his wife and the charitable foundation. 9. SOLE DISPOSITIVE POWER 423,356 shares of Common Stock and an estimated 1,137,463 shares of Common Stock issuable upon conversion of Series A Cumulative Convertible Preferred Stock CUSIP No. 302426 10 1 13D Page 4 of 7 pages 10. SHARED DISPOSITIVE POWER 137,202 shares of Common Stock and an estimated 368,823 shares of Common Stock issuable upon conversion of Series A Cumulative Convertible Preferred Stock owned by Mr. Anderson's wife; 90,000 shares of Common Stock and an estimated 361,290 shares of Common Stock issuable upon conversion of Series A Cumulative Convertible Preferred Stock owned by a charitable foundation of which Mr. Anderson is a member of the board of directors. Mr. Anderson disclaims beneficial ownership of all shares owned by his wife and the charitable foundation. 11. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 650,558 shares of Common Stock and an estimated 1,867,576 shares of Common Stock issuable upon conversion of Series A Cumulative Convertible Preferred Stock. Mr. Anderson disclaims beneficial ownership of 227,202 and 730,113 of such shares, respectively, as set forth in rows 8 and 10. 12. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* [X] Excludes 271,200 shares of Common Stock and 729,032 shares of Common Stock issuable upon conversion of Series A Cumulative Convertible Preferred Stock held by two trusts of which relatives of Mr. Anderson are beneficiaries. Mr. Anderson disclaims beneficial ownership of such shares. 13. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 6.22% based on issuer's Form 10-K for the fiscal year ended June 30, 1994 14. TYPE OF REPORTING PERSON* Individual *SEE INSTRUCTIONS BEFORE FILLING OUT CUSIP No. 302426 10 1 13D Page 5 of 7 Pages ITEM 1. SECURITY AND ISSUER. Title of class of equity securities: Common Stock Name and address of the principal executive offices of the issuer: FHP International Corporation 9900 Talbert Avenue Fountain Valley, California 92708 ITEM 2. IDENTITY AND BACKGROUND (a) Name: Jack R. Anderson (b) Business address: 14755 Preston Road, Suite 515, Dallas, Texas 75240 (c) Present principal occupation: President, Calver Corporation (d) Criminal convictions in the last five years: None (e) Civil securities violations in the last five years: None (f) Citizenship: USA ITEM 3. SOURCE AND AMOUNT OF FUNDS OR OTHER CONSIDERATION. Shares of Common Stock of TakeCare, Inc. See Item 5. ITEM 4. PURPOSE OF TRANSACTION Mr. Anderson acquired the shares of Common Stock and Series A Cumulative Convertible Preferred Stock as an investment and may from time to time acquire or dispose of additional shares through open market and privately negotiated transactions depending on existing market and economic conditions. Mr. Anderson intends to review his investment in the issuer on a continuing basis and, depending on the price and availability of shares, subsequent developments affecting the issuer, the issuer's business and prospects, other investment and business opportunities available to Mr. Anderson, and other factors considered relevant, may decide to increase or decrease the size of his investment in the issuer. ITEM 5. INTEREST IN THE SECURITIES OF THE ISSUER. The aggregate number and percentage of the class of securities beneficially owned by Mr. Anderson is indicated in rows 7-10 of this Schedule. Mr. Anderson acquired such securities in exchange for shares of common stock of TakeCare, Inc. as a result of the June 17, 1994 merger of TakeCare with and into a subsidiary of the issuer in which the holders of TakeCare common stock received .48 shares of Common Stock and 1.6 shares of Series A Cumulative Convertible Preferred Stock of CUSIP No. 302426 10 1 13D Page 6 of 7 pa the issuer in exchange for each share of TakeCare common stock held by them at the Effective Time of the merger. The Series A Cumulative Convertible Preferred Stock is convertible into Common Stock beginning December 20, 1994. Accordingly, pursuant to Rule 13d-3(d)(1)(i) under the Securities Exchange Act of 1934, Mr. Anderson may be deemed the beneficial owner of Common Stock issuable upon such conversion of the Series A Cumulative Convertible Preferred Stock of which he may be deemed the beneficial owner. ITEM 6. CONTACTS, ARRANGEMENTS, UNDERSTANDINGS OR RELATIONSHIPS WITH RESPECT TO SECURITIES OF THE ISSUER. In connection with the merger described in Item 5, Mr. Anderson and his wife entered into an agreement with the issuer pursuant to which they agreed that neither they nor their affiliates or family members would become a participant in a solicitation in opposition to the recommendation of the Board of Directors of the issuer with respect to any matter subjected to a vote or written consent of its stockholders. They also agreed that they would not join any group or otherwise act in concert with any other person for the purpose of affecting control of the issuer, or acquiring, holding, voting or disposing of voting securities of the issuer and that neither they nor such affiliates would publicly propose any merger, share repurchase, asset sale, reverse stock split or other extraordinary transaction with, or a change in control of, the issuer or any of its subsidiaries, unless such proposed transaction has been approved by the Board of Directors of the issuer. The agreement terminates at the earliest of (i) the date on which Mr. Anderson and his wife collectively no longer own, beneficially or of record, voting securities of the issuer entitling the holder to cast three percent or more of the votes eligible to be cast in the election of directors of the issuer, (ii) March 3, 1999, or (iii) the first anniversary of the date on which all of the Series A Cumulative Convertible Preferred Stock of the issuer held, beneficially or of record, by Mr. Anderson and his wife, is converted into Common Stock of the issuer. ITEM 7. MATERIAL TO BE FILED AS EXHIBITS. Letter agreement dated March 3, 1994 among Jack R. Anderson, Rose-Marie Anderson, and FHP International Corporation. CUSIP No. 302426 10 1 13D Page 7 of 7 pages SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. By: /s/ JACK R. ANDERSON ____________________ JACK R. ANDERSON DATE: October 31, 1994 EX-99 2 LETTER AGREEMENT March 3, 1994 FHP International Corporation 9900 Talbert Avenue Fountain Valley, CA 92728 Gentlemen: The undersigned, Stockholders ("Stockholders") of TakeCare, Inc. ("TakeCare"), understand that FHP International Corporation ("FHP") is considering entering into an Agreement and Plan of Merger with TakeCare, pursuant to which the Stockholders will receive voting shares of FHP. In connection with such merger and as an inducement for FHP to enter into the Agreement and Plan of Merger, the Stockholders are delivering this letter to FHP. The Stockholders hereby covenant and agree with FHP that neither the Stockholders nor any of their respective affiliates or family members shall become a participant in a solicitation in opposition to the recommendation of the Board of Directors of FHP with respect to any matter subjected to a vote or written consent of the stockholders of FHP. In that connection, the Stockholders agree with FHP that the Stockholders and such affiliates will not, directly or indirectly, join any partnership, syndicate or other group (within the meaning of Section 13(d)(3) of the Securities Exchange Act of 1934, as amended), or otherwise act in concert with, any other person for the purpose of affecting control of FHP, or acquiring, holding, voting or disposing of voting securities of FHP. Stockholders further agree that neither they nor any such affiliates shall publicly propose any merger, share repurchase, asset sale, reverse stock split or other extraordinary transaction with, or a change in control of, FHP or any of its subsidiaries, unless such proposed transaction has been approved by the Board of Directors of FHP. The agreements set forth in this letter shall continue in full force in effect until the earliest of (i) the termination of the Agreement and Plan of Merger without consummation of the Merger contemplated thereby, (ii) the date on which the Stockholders collectively no longer own, beneficially or of record, voting securities of FHP entitling the holder to cast 3% or more of the votes eligible to be cast in the election of directors of FHP, (iii) the fifth anniversary of the date of this letter or (iv) the first anniversary of the date on which all of the Series A Cumulative Convertible Preferred Stock of FHP held, beneficially or of record, by the Stockholders is converted into common stock of FHP. It is further agreed that, notwithstanding any provision to the contrary in the Shareholder Agreement dated as of January 6, 1994 between FHP and the Stockholders, said Shareholder Agreement shall require the Stockholders to vote their shares of TakeCare Common Stock against, and to appoint FHP their proxy to vote said shares against, an Acquisition Proposal (as defined therein) only so long as the Agreement and Plan of Merger shall not have been terminated. Very truly yours, /s/ Jack R. Anderson TakeCare Shares Beneficially owned: 1,161,534 /s/ Rose-Marie Anderson TakeCare Shares Beneficially Owned: 285,838 Agreed and Accepted on: May 5, 1994 FHP International Corporation By: /s/ Westcott W. Price, III Its: President and CEO -----END PRIVACY-ENHANCED MESSAGE-----