-----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, A9JyXn8e9zxh570eVDAIqGQJ3KrSUxD+rB7UzDVdJVQSOeXsPnNIpmhPj3x9tFO7 MkJ0McqtKptLBIyanQGyuw== 0000899140-97-000517.txt : 19970709 0000899140-97-000517.hdr.sgml : 19970709 ACCESSION NUMBER: 0000899140-97-000517 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19970630 FILED AS OF DATE: 19970708 SROS: NONE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: COVENTRY CORP CENTRAL INDEX KEY: 0000867440 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-OFFICES & CLINICS OF DOCTORS OF MEDICINE [8011] IRS NUMBER: 621297579 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19147 FILM NUMBER: 97637278 BUSINESS ADDRESS: STREET 1: 53 CENTURY BLVD STE 250 CITY: NASHVILLE STATE: TN ZIP: 37214 BUSINESS PHONE: 6153912449 MAIL ADDRESS: STREET 1: 53 CENTURY BLVD STREET 2: STE 250 CITY: NASHVILLE STATE: TN ZIP: 37214 FORMER COMPANY: FORMER CONFORMED NAME: CONVENTRY CORP DATE OF NAME CHANGE: 19600201 COMPANY DATA: COMPANY CONFORMED NAME: WARBURG PINCUS VENTURES LP CENTRAL INDEX KEY: 0000942263 STANDARD INDUSTRIAL CLASSIFICATION: UNKNOWN SIC - 0000 [0000] OWNER IRS NUMBER: 133784037 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: E M WARBURG PINCUS & CO INC STREET 2: 466 LEXINGTON AVE 10TH FL CITY: NEW YORK STATE: NY ZIP: 10017-3147 BUSINESS PHONE: 2128780600 MAIL ADDRESS: STREET 1: E M WARBURG PINCUS & CO INC STREET 2: 466 LEXINGTON AVE 10TH FL CITY: NEW YORK STATE: NY ZIP: 10017-3147 3 1 FORM 3 1 FORM 3 OMB APPROVAL ------ ------------- OMB Number: 3235-0104 Expires: September 30, 1998 Estimated Average burden hours per response ....0.5 U.S. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940
--------------------------------------- ------------------------ -------------------------------------------------------- 1. Name and Address of Reporting Person* 2. Date of Event 4. Issuer Name and Ticker Requiring Statement or Trading Symbol (Month/Day/Year) Warburg, Pincus Ventures, L.P. June 30, 1997 Coventry Corporation, CVTY --------------------------------------- ------------------------ ---------------------------- --------------------- (Last) (First) (Middle) 3. IRS or Social Security 5. Relationship of Reporting 6. If Amendment, Number of Reporting Person(s) to Issuer Date of Original Person (Voluntary) (Check all applicable) (Month/Day/Year) [ ] Director [X] 10% Owner 7. Individual or Joint/ [ ] Officer [ ] Other (specify Group Filing (Check (give below) Applicable Line) title ___Form Filed by One below) Reporting Person _X_Form Filed by More 466 Lexington Avenue than One Reporting - ---------------------------------- Person (Street) New York New York 10017 - -------------------------------------------------------------------- ------------------------------------------------------------- (City) (State) (Zip)
Table I -- Non-Derivative Securities Beneficially Owned -------------------------------- -------------------------------- ---------------------- ---------------------------------------- 1.Title of Security 2. Amount of Securities 3. Ownership Form: 4. Nature of Indirect Beneficial (Instr. 4) Beneficially Owned Direct (D) or Ownership (Instr. 5) (Instr. 4) Indirect (I) (Instr. 5) -------------------------------- -------------------------------- ---------------------- ---------------------------------------- -------------------------------- -------------------------------- ---------------------- ----------------------------------------
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over) (Print or Type Responses) SEC 1473 (7-96) * If the form is filed by more than one reporting person, see Instruction 5(b)(v). 2 FORM 3 (continued)
Table II -- Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) - ----------------------- ---------------------- ------------------------ -------------- ---------------- -------------- 1. Title of Derivative 2. Date Exercisable 3. Title and Amount of 4. Conversion 5. Ownership 6. Nature of Security (Instr. 4) and Expiration Date Securities Underlying or Exercise Form of Indirect (Month/Day/Year) Derivative Security of Price of Derivative Beneficial (Instr. 4) Derivative Security: Ownership Security Direct (D) (Instr.5) or Indirect (I) (Instr. 5) ------------- --------- ------------------------ Date Expiration Title Amount or Exercisable Date Number of Shares --------------------- ------------- --------- ------------------------ -------------- ----------------- -------------- Convertible Exchangeable June 30, Notes 2004 --------------------- ------------- --------- ------------------------ -------------- ----------------- -------------- (exchange) (1) Series A 3,600,000 (4) D(2) By Warburg, Pincus Preferred Ventures, L.P. and Stock (if Voting Trust approved by Coventry's shareholders) --------------------- ------------- --------- ------------------------ -------------- ----------------- -------------- (conversion) June 30, Common Stock 3,600,000 (4) $10.00 D(2) By Warburg, Pincus 1997(3) Ventures, L.P. and Voting Trust --------------------- ------------- --------- ------------------------ -------------- ----------------- -------------- Warrrants to Purchase June 30, June 30, Common Stock 2,117,647 (5) $10.625 D(2) By Warburg, Pincus Common Stock 1997 2004 Ventures, L.P. and Voting Trust --------------------- ------------- --------- ------------------------ -------------- ----------------- -------------- (6) --------------------- ------------- --------- ------------------------ -------------- ----------------- -------------- --------------------- ------------- --------- ------------------------ -------------- ----------------- --------------
3 Explanation of Responses: (1) The Convertible Exchangeable Note may be exchanged for Series A Preferred Stock at any time at the option of Coventry Corporation (the "Company"), provided, however, that the shareholders of the Company shall have approved and adopted the terms of the Series A Preferred Stock. (2) At two separate closings which occurred on May 9, 1997 and June 30, 1997, respectively, Warburg, Pincus Ventures, L.P., a Delaware limited partnership ("Ventures"), purchased 8.3% Convertible Exchangeable Senior Subordinated Notes of the Company (the "Notes") in the aggregate principal amount of $36,000,000 and Warrants ("Warrants") to purchase 2,117,647 shares of common stock of the Company, par value $.01 per share (the "Common Stock") (the Notes and the Warrants are referred to herein collectively as the "Securities"). Pursuant to a Voting Trust Agreement, dated April 15, 1997, among Patrick T. Hackett, Joel Ackerman and Jonathan S. Leff, as Trustees (collectively, the "Trustees"), and Ventures (the "Voting Trust"), Ventures vested the power to vote all of the shares of Common Stock and all of the shares of Series A Preferred Stock which Ventures may acquire upon conversion, exchange or exercise of the Securities irrevocably in the Voting Trust until April 15, 2007; provided, however, that Ventures may terminate the Voting Trust upon written notice to the Trustees if Ventures is deemed to own beneficially (within the meaning of Rule 13d-3 under the Securities Exchange Act of 1934, as amended (the "Exchange Act")) less than ten percent (10%) of the then outstanding shares of Common Stock. By reason of the provisions of Rule 16a-1 of the Exchange Act, the Voting Trust and the Trustees may be deemed to be the beneficial owner of the Securities held by Ventures, although the Voting Trust and each of the Trustees disclaim beneficial ownership of such Securities. Additionally, the sole general partner of Ventures is Warburg, Pincus & Co., a New York general partnership ("WP"). Lionel I. Pincus is the managing partner of WP and he may be deemed to control it. E.M. Warburg, Pincus & Co., LLC, a New York limited liability company ("EMW"), many of whose members are also general partners of WP, manages Ventures. WP has a 15% interest in the profits of Ventures as the general partner and also owns approximately 1.2% of the limited partnership interests in Ventures. By reason of the provisions of Rule 16a-1 of the Exchange Act, WP and EMW may be deemed to be the beneficial owner of the Securities held by Ventures, although both WP and EMW disclaim beneficial ownership of such Securities except to the extent of any indirect pecuniary interest therein. (3) If the Convertible Exchangeable Note is not exchanged for Series A Preferred Stock, it may be converted into shares of Common Stock at any time at the option of the holder, Ventures. (4) The number of shares of Series A Preferred Stock into which the Note may be exchanged and the number of shares of Common Stock into which the Note may be converted are both subject to standard anti-dilution provisions and subject to adjustment in the event that interest is paid in-kind on the Note. (5) The number of shares of Common Stock for which the warrants are exercisable is subject to standard anti-dilution provisions. (6) The Securities were issued pursuant to an Amended and Restated Securities Purchase Agreement, dated as of April 2, 1997, by and among the Company, Ventures and Franklin Capital Associates III L.P. (the "Purchase Agreement"). 4 JOINT FILER INFORMATION 1. Name: Joel Ackerman (Trustee) Address: 466 Lexington Avenue New York, New York 10017 2. Name: Jonathan S. Leff (Trustee) Address: 466 Lexington Avenue New York, New York 10017 3. Name: Warburg, Pincus & Co. (General Partner) Address: 466 Lexington Avenue New York, New York 10017 4. Name: E.M. Warburg, Pincus & Co., LLC (Manager of WPV) Address: 466 Lexington Avenue New York, New York 10017 * Note that the third Trustee under the Voting Trust, Patrick T. Hackett, has reported separately on Form 4 in connection with the purchase of the Notes and the Warrants under the Purchase Agreement. Designated Filer: Warburg, Pincus Ventures, L.P. Issuer & Ticker Symbol: Coventry Corporation (CVTY) Period Covered By Form: June, 1997 5 WARBURG, PINCUS VENTURES, L.P. By: Warburg, Pincus & Co., General Partner By: /s/ Stephen Distler July 8, 1997 ------------------- Stephen Distler Partner WARBURG, PINCUS & CO. By: /s/ Stephen Distler July 8, 1997 ------------------- Stephen Distler Partner E.M. WARBURG, PINCUS & CO., LLC By: /s/ Stephen Distler July 8, 1997 ------------------- Stephen Distler Member Trustee /s/ Joel Ackerman July 8, 1997 ----------------- Joel Ackerman Trustee /s/ Jonathan S. Leff July 8, 1997 -------------------- Jonathan S. Leff SEC 1473 (7-96) -----END PRIVACY-ENHANCED MESSAGE-----