-----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, BsNWCnsyDfrmduIHOVREUMrkanpa/Nt7a8EdqRwoufuFf2WTr22jOERvys+q1qsS 8X4naFxs6mKtr+vrOBzr7w== 0000909012-04-000409.txt : 20040524 0000909012-04-000409.hdr.sgml : 20040524 20040524171400 ACCESSION NUMBER: 0000909012-04-000409 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 19990201 FILED AS OF DATE: 20040524 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ALLION HEALTHCARE INC CENTRAL INDEX KEY: 0000847935 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-DRUGS PROPRIETARIES & DRUGGISTS' SUNDRIES [5122] IRS NUMBER: 112962027 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1660 WALT WHITMAN ROAD SUITE 105 CITY: MELVILLE STATE: NY ZIP: 11747 BUSINESS PHONE: 631-870-5100 MAIL ADDRESS: STREET 1: 1660 WALT WHITMAN ROAD SUITE 105 CITY: MELVILLE STATE: NY ZIP: 11747 FORMER COMPANY: FORMER CONFORMED NAME: CARE GROUP INC DATE OF NAME CHANGE: 19920703 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PAPPAJOHN JOHN CENTRAL INDEX KEY: 0000897464 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-17821 FILM NUMBER: 04827674 BUSINESS ADDRESS: STREET 1: C/O EQUITY DYNAMICS STREET 2: 2116 FINANCIAL CENTER CITY: DES MOINES STATE: IA ZIP: 50309 BUSINESS PHONE: 631-870-5100 MAIL ADDRESS: STREET 1: 1660 WALT WHITMAN ROAD STREET 2: SUITE 105 CITY: MELVILLE STATE: NY ZIP: 11747 4 1 t301065_ex.xml X0202 4 1999-02-01 0 0000847935 ALLION HEALTHCARE INC NONE 0000897464 PAPPAJOHN JOHN C/O ALLION HEALTHCARE, INC. 1660 WALT WHITMAN ROAD, SUITE 105 MELVILLE NY 11747 1 0 1 0 Common Stock 1999-02-01 1999-02-01 4 P 0 325000 .40 A 325000 D Common Stock 1999-02-01 1999-02-01 4 P 0 475000 .40 A 475000 I By Halkis Ltd. Common Stock 1999-02-01 1999-02-01 4 P 0 250000 .40 A 250000 I By Thebes Ltd. Common Stock 2000-03-01 2000-03-01 4 M 0 50000 .175 A 375000 D Common Stock 2000-12-31 2000-12-31 4 G 0 100000 .40 D 375000 I By Halkis Ltd. Stock Option (right to buy) .175 1999-02-01 1999-02-01 4 A 0 50000 0 A 1999-02-01 2009-02-01 Common Stock 50000 50000 D Common Stock Warrant (right to buy) 1.00 2000-01-11 2000-01-11 4 J 0 375000 0 A 2000-01-11 2010-01-11 Common Stock 375000 375000 D Stock Option (right to buy) .175 2000-03-01 2000-03-01 4 M 0 50000 0 D 1999-02-01 2009-02-01 Common Stock 50000 0 D Stock Option (right to buy) 2.00 2000-12-05 2000-12-05 4 A 0 50000 0 A 2010-12-05 Common Stock 50000 50000 D Common Stock Warrant (right to buy) 1.00 2002-02-25 2002-02-25 4 G 0 37500 0 D 2000-01-11 2010-01-11 Common Stock 37500 337500 D Common Stock Warrant (right to buy) 3.50 2002-06-30 2002-06-30 4 J 0 150000 0 A 2002-06-30 2012-06-30 Common Stock 150000 150000 D Common Stock Warrant (right to buy) 5.00 2003-04-01 2003-04-01 4 J 0 125000 0 A 2003-04-01 2013-04-01 Common Stock 125000 125000 D Common Stock Warrant (right to buy) 5.00 2003-04-01 2003-04-01 4 G 0 110000 0 D 2003-04-01 2013-04-01 Common Stock 110000 15000 D Series C Convertible Preferred Stock 5.00 2003-04-01 2003-04-01 4 P 0 100000 0 A 2003-04-01 Common Stock 100000 100000 D The shares were purchased in connection with the bankruptcy reorganization of the issuer. Any securities of the issuer beneficially owned by the reporting person prior to the bankruptcy reorganization were eliminated in the reorganization. Thebes is controlled by the wife of the reporting person, and the reporting person disclaims beneficial ownership of these shares and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for Section 16 or for any other purpose. The Common Stock Warrant was granted to the reporting person in exchange for the reporting person personally guaranteeing a term loan made to the issuer. The Common Stock Warrant was granted in connection with the continuation of the personal guarantee referred to in (3) above. The Common Stock Warrant was granted in connection with the subordination of the reporting person's security interest in certain of the issuer's assets. The option vests monthly over 36 months from December 5, 2000, the date of grant of such options. Subject to adjustment per the Certificate of Designation of Rights and Preferences of Series C Preferred Stock of Issuer. No expiration date. JAMES G. SPENCER, BY POWER OF ATTORNEY 2004-05-20 EX-24 2 exh24.txt POWER OF ATTORNEY Know all by these present, that the undersigned hereby constitutes and appoints each of Michael P. Moran and James G. Spencer, signing singly, the undersigned's true and lawful attorney-in-fact to: (1) execute for and on behalf of the undersigned, in the undersigned's capacity as an officer and/or director of Allion Healthcare, Inc. (the "Company"), Forms 3, 4, and 5, Form ID or such other forms as the United States Securities and Exchange Commission may from time to time adopt for reporting changes in beneficial ownership of the Company's securities, in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules promulgated thereunder. (2) do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form, complete and execute any amendment or amendments thereto, and file such Form with the United States Securities and Exchange Commission and any stock exchange or similar authority; and (3) take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact's discretion. The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934. This Power of Attorney shall remain in full force and effect until revoked by the undersigned in a signed writing delivered in the foregoing attorneys-in-fact. IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of the 13th day of May, 2004. /s/ JOHN PAPPAJOHN ------------------ John Pappajohn -----END PRIVACY-ENHANCED MESSAGE-----