FORM 4
U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 4
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(f) of the Investment Company Act of 1940
|_| Check this box if no longer subject of Section 16. Form 4 or Form 5
obligations may continue. See Instruction 1(b).
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1. Name and Address of Reporting Person
Friedler Jack
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(Last) (First) (Middle)
4779 Collins Avenue, Suite 3304
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(Street)
Miami Beach Florida 33140
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
Lexington Healthcare Group, Inc. (NASDAQ: LEXI)
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3. IRS or Social Security Number of Reporting Person (Voluntary)
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4. Statement for Month/Year
January 2001
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5. If Amendment, Date of Original (Month/Year)
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6. Relationship of Reporting Person to Issuer
(Check all applicable)
[ ] Director |X| 10% Owner
|_| Officer (give title below) [ ] Other (specify below)
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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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6.
4. 5. Owner-
Securities Acquired (A) or Amount of ship
3. Disposed of (D) Securities Form: 7.
Transaction (Instr. 3, 4 and 5) Beneficially Direct Nature of
2. Code ------------------------------- Owned at End (D) or Indirect
1. Transaction (Instr. 8) (A) of Month Indirect Beneficial
Title of Security Date ------------ Amount or Price (Instr. 3 (I) Ownership
(Instr. 3) (mm/dd/yy) Code V (D) and 4) (Instr.4) (Instr. 4)
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Common Stock 01-26-01 P 105,600 A $0.14 225,167 I By New
per share shares Generation LLC
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Common Stock 1,426,500 D
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*If the Form is filed by more than one Reporting Person, see Instruction 4(b)(v)
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
(Print or Type Response)
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. 10.
Number Owner-
of ship
2. Deriv- of
Conver- 5. 7. ative Deriv- 11.
sion Number of Title and Amount Secur- ative Nature
or Derivative 6. of Underlying 8. ities Secur- of
Exer- 4. Securities Date Securities Price Bene- ity: In-
cise 3. Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of ficially Direct direct
Price Trans- action or Disposed Expiration Date ---------------- Deriv- Owned (D) or Bene-
1. of action Code of(D) (Month/Day/Year) Amount ative at End In- ficial
Title of Deriv- Date (Instr. (Instr. 3, ---------------- or Secur- of direct Owner-
Derivative ative (Month/ 8) 4 and 5) Date Expira- Number ity Month (I) ship
Security Secur- Day/ ------ ------------ Exer- tion of . (Instr. (Instr. (Instr. (Instr.
(Instr. 3) ity Year) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4)
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Options to
purchase $0.01 01-26-01 P A 01-26-01 01-25-11 Shares of 119,567 $0.15 119,567 I By New
Common Generation
Stock LLC
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Explanation of Response: New Generation LLC, a limited liability company wholly
owned and controlled by Mr. Jack Friedler, acquired the shares of common stock
(the "Common Stock") of Lexington Healthcare Group, Inc. (the "Company")
referenced on page 1 hereof in addition to the options referenced on page 2
hereof on January 26, 2001 in a private transaction entered into by Mr. Friedler
and Mr. Harry Dermer and Ms. Mary Archambault (the "Transaction"). The total
shares of Common Stock indirectly owned by New Generation LLC as reported on
page 1 hereof includes the shares of Common Stock underlying the options
reported on page 2 hereof pursuant to Rule 16a-1 (a) (2) (ii) (F) of the
Securities Exchange Act of 1934, as amended. The Transaction would not have been
reported hereunder but for Mr. Friedler's pre-existing direct ownership of
shares of Common Stock of the Company, in that the pecuniary interest held by
New Generation LLC is less than ten percent (10%).
The figure "$0.15" denoting the price paid per option is an approximation:
A total of $17,772 was paid for the 119,567 options reported.
NEW GENERATION LLC
/s/ Jack Friedler 02/13/01
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By: Jack Friedler Date
Title: Sole Owner and Manager
** 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 provided is insufficient, see Instruction 6 for procedures.