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|FORM 4| OMB APPROVAL
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OMB NUMBER: 3235-0287
[ ] Check box if no longer subject EXPIRES: JANUARY 31, 2005
to Section 16. Form 4 or Form 5 ESTIMATED AVERAGE BURDEN
obligations may continue. See HOURS PER RESPONSE........0.5
Instruction 1(b). -----------------------------
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
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(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
STERLING DAVID A.
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(Last) (First) (Middle)
C/O UNITED DIAGNOSTIC, INC.
823 MAIN STREET
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(Street)
HOPE VALLEY RI 02832
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(City) (State) (Zip)
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2. Issuer Name AND Ticker or Trading Symbol
UNITED DIAGNOSTIC, INC. (UNDI)
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3. IRS Identification Number of Reporting Person, if an entity (Voluntary)
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4. Statement for Month/Day/Year
FEBRUARY 5, 2003
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5. If Amendment, Date of Original (Month/Day/Year)
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6. Relationship of Reporting Person to Issuer
(Check all applicable)
[X] Director [X] 10% Owner
[X] Officer (give title below) [ ] Other (specify below)
Secretary
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7. Individual or Joint/Group Filing (Check applicable line)
[X] Form Filed By One Reporting Person
[ ] Form Filed By More Than One Reporting Person
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TABLE I -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF,
OR BENEFICIALLY OWNED
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5
Amount of 6.
4. Securities Owner-
2A. Securities Acquired (A) or Beneficially ship
2. Deemed 3. Disposed of (D) Owned Form: 7.
Trans- Execution Transaction (Instr. 3, 4 and 5) Following Direct Nature of
action Date, if Code ------------------------------- Reported (D) or Indirect
1. Date any (Instr. 8) (A) Transaction(s) Indirect Beneficial
Title of Security (Month/ (Month/ ------------ or (Instr. 3 (I) Ownership
(Instr. 3) Day/Year) Day/Year) Code V Amount (D) Price and 4) (Instr.4) (Instr.4)
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Common Stock February 5, J(1) 1,700,000 A $0.01 1,700,000 D
2003 per share
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Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
* If the form is filed by more than one reporting person, See Instruction
4(b)(v).
PERSONS WHO RESPOND TO THE COLLECTION OF INFORMATION CONTAINED IN THIS FORM ARE
NOT REQUIRED TO RESPOND UNLESS THE FORM DISPLAYS A CURRENTLY VALID OMB CONTROL
NUMBER.
(Over)
SEC 1474 (9/02)
FORM 4 (CONTINUED)
TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
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9.
Number 10.
of Owner-
Deriv- ship
ative Form
2. Secur- of
Conver- 5. 7. ities Deriv- 11.
sion Number of Title and Amount Bene- ative Nature
or 3A. Derivative 6. of Underlying 8. ficially Secur- of
Exer- Deemed 4. Securities Date Securities Price Owned ity: In-
cise 3. Execut- Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of Follow- Direct direct
Price Trans- tion action or Disposed Expiration Date ---------------- Deriv- ing (D) or Bene-
1. of action Date, Code of(D) (Month/Day/Year) Amount ative Reported In- ficial
Title of Deriv- Date If Any (Instr. (Instr. 3, ---------------- or Secur- Trans- direct Owner-
Derivative ative (Month/ (Month/ 8) 4, and 5) Date Expira- Number ity action(s) (I) ship
Security Secur- Day/ Day/ ------ ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr.
(Instr. 3) ity Year) Year) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4)
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Explanation of Responses: SEE SCHEDULE A ATTACHED HERETO AND MADE A PART HEREOF
FOR EXPLANATION OF RESPONSES.
/s/ David A. Sterling February 6, 2003
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**Signature of Reporting Person Date
David A. Sterling
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** Intentional misstatements or omissions of facts constitute Federal Criminal
Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a)
Note: File three copies of this Form, one of which must be manually signed.
If space is insufficient, see Instruction 6 for procedure.
Potential persons who are to respond to the collection of information contained
in this form are not required to respond unless the form displays a currently
vaild OMB Number.
Page 2
SCHEDULE A
EXPLANATION OF REPSONSES
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1. On February 5, 2003, Mr. Sterling formally elected to convert an
aggregate of $17,000 of loans and other obligations owed to him by the Company
into 1,700,000 shares of common stock