SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 8-K/A CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported) November 21, 1997 CLAIRE TECHNOLOGIES, INC. (Exact name of registrant as specified in its charter) NEVADA 33-55254-33 87-0467224 (State or other jurisdiction (Commission File (IRS Employer of incorporation) Number) Identification Number) 7373 NORTH SCOTTSDALE ROAD SUITE B-169 SCOTTSDALE, ARIZONA 85253 (Address of principal executive offices) (Zip Code) Registrant's telephone number, including area code (602) 483-8700 AMENDMENT NO. 2 The undersigned registrant hereby amends the following items, financial statements, exhibits or other portions of its current Report on Form 8-K dated December 5, 1997 and filed December 8, 1997 as follows: Attached are audited financial statements of Olympic Rehabilitation Services, Inc. as of December 31, 1996. 1 SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized. (Registrant) CLAIRE TECHNOLOGIES, INC. /s/ Jan Wallace Jan Wallace President Date: March 13, 1998 2 SMITH & COMPANY CERTIFIED PUBLIC ACCOUNTANTS MEMBERS OF: CRANDALL BUILDING SUITE 700 AMERICAN INSTITUTE OF 10 WEST 100 SOUTH CERTIFIED PUBLIC ACCOUNTANTS SALT LAKE CITY, UTAH 84101 UTAH ASSOCIATION OF TELEPHONE: (801) 575-8297 CERTIFIED PUBLIC ACCOUNTANTS FACSIMILE: (801) 575-8306 - -------------------------------------------------------------------------------- INDEPENDENT AUDITOR'S REPORT Board of Directors Olympic Rehabilitation Services, Inc. (A Development Stage Company) We have audited the accompanying balance sheet of Olympic Rehabilitation Services, Inc. (a development stage company) as of December 31, 1996, and the related statements of operations and cash flows for the years ended December 31, 1996 and 1995, and for the period of September 15, 1995 (date of inception) to December 31, 1996. These financial statements are the responsibility of the Company's management. Our responsibility is to express an opinion on these financial statements based on our audits. We conducted our audits in accordance with generally accepted auditing standards. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion. In our opinion, the financial statements referred to above present fairly, in all material respects, the financial position of Olympic Rehabilitation Services, Inc. (a development stage company) as of December 31, 1996, and the results of its operations and its cash flows for the years ended December 31, 1996 and 1995, and for the period of September 15, 1995 (date of inception) to December 31, 1996 in conformity with generally accepted accounting principles. /s/ Smith & Company CERTIFIED PUBLIC ACCOUNTANTS Salt Lake City, Utah March 12, 1998 See Notes to Financial Statements. F-1 OLYMPIC REHABILITATION SERVICES, INC. (A Development Stage Company) BALANCE SHEET 12/31/96 ----------------- ASSETS CURRENT ASSETS Cash in bank $ 15,355 Prepaid expenses 4,292 Accounts receivable (Net of allowance for doubtful accounts of $211,000) 498,578 ----------------- TOTAL CURRENT ASSETS 518,225 PROPERTY AND EQUIPMENT (Note 4 and Schedules V and VI) 453,757 OTHER ASSETS Organization costs 247 Deposits 3,470 ----------------- 3,717 ----------------- $ 975,699 ================= LIABILITIES & EQUITY CURRENT LIABILITIES Accounts payable $ 131,191 Accrued expenses 8,767 Current portion of notes payable (Note 5) 552,754 ----------------- TOTAL CURRENT LIABILITIES 692,712 LONG-TERM DEBT (Note 5) 31,944 ----------------- TOTAL LIABILITIES 724,656 STOCKHOLDERS' EQUITY Common Stock no par value: Authorized - 10,000 shares Issued and outstanding 10,000 shares 0 Earnings accumulated during the development stage 350,074 Dividends paid (99,031) ----------------- TOTAL STOCKHOLDERS' EQUITY 251,043 ----------------- $ 975,699 ================= See Notes to Financial Statements. F-2 OLYMPIC REHABILITATION SERVICES, INC. (A Development Stage Company) STATEMENTS OF OPERATIONS 9/15/95 Years ended (Date of December 31, inception) to 1996 1995 12/31/96 -------------- -------------- -------------- Service revenue $ 1,224,545 $ 0 $ 1,224,545 Rental revenue 198,926 0 198,926 Net equipment sales 41,450 0 41,450 -------------- -------------- -------------- GROSS PROFIT 1,464,921 0 1,464,921 General & administrative expenses: Contract services 218,730 0 218,730 Insurance 6,622 0 6,622 Payroll taxes and benefits 85,280 0 85,280 Rent 25,331 0 25,331 Salaries 377,317 0 377,317 Supplies 42,811 0 42,811 Travel & entertainment 20,094 0 20,094 Utilities 21,081 0 21,081 Other 16,220 0 16,220 Depreciation & amortization 77,587 5 77,592 Interest expense 12,669 0 12,669 Bad debts 211,100 0 211,100 -------------- -------------- -------------- 1,114,842 5 1,114,847 -------------- -------------- -------------- NET INCOME (LOSS) BEFORE INCOME TAXES 350,079 (5) 350,074 INCOME TAXES (Note 1) 0 0 0 -------------- -------------- -------------- NET INCOME (LOSS) $ 350,079 $ (5) $ 350,074 ============== ============== ============== Net income (loss) per weighted average share $ 35.01 $ (.00) ============== ============== Weighted average number of common shares used to compute net income (loss) per weighted average share 10,000 10,000 ============== ============== See Notes to Financial Statements. F-3 OLYMPIC REHABILITATION SERVICES, INC. (A Development Stage Company) STATEMENTS OF CASH FLOWS 9/15/95 Years ended (Date of December 31, inception) to 1996 1995 12/31/96 --------------- --------------- --------------- OPERATING ACTIVITIES Net income (loss) $ 350,079 $ (5) $ 350,074 Adjustments to reconcile net income (loss) to cash provided by operating activities: Depreciation and amortization 77,587 5 77,592 Bad debt expense 211,000 0 211,000 Changes in assets and liabilities: Prepaid expenses (4,292) 0 (4,292) Accounts receivable (709,578) 0 (709,578) Accounts payable 131,191 0 131,191 Accrued expenses 8,767 0 8,767 --------------- --------------- --------------- NET CASH PROVIDED BY OPERATING ACTIVITIES 64,754 0 64,754 INVESTING ACTIVITIES Purchase of equipment (486,306) 0 (486,306) Deposits (3,470) 0 (3,470) Organization costs (210) (80) (290) --------------- --------------- --------------- NET CASH (USED) BY INVESTING ACTIVITIES (489,986) (80) (490,066) FINANCING ACTIVITIES Loans - related parties 515,343 80 515,423 Loan repayments - related parties (79,456) 0 (79,456) Dividends paid (99,111) 0 (99,111) Loan proceeds 174,153 0 174,153 Loan repayments (70,342) 0 (70,342) --------------- --------------- --------------- NET CASH PROVIDED BY FINANCING ACTIVITIES 440,587 80 440,667 --------------- --------------- --------------- INCREASE IN CASH AND CASH EQUIVALENTS 15,355 0 15,355 Cash and cash equivalents at beginning of period 0 0 0 --------------- --------------- --------------- CASH AND CASH EQUIVALENTS AT END OF YEAR $ 15,355 $ 0 $ 15,355 =============== =============== =============== SUPPLEMENTAL INFORMATION Cash paid for interest $ 12,669 $ 0 $ 12,669 =============== =============== =============== During 1996, the Company issued a promissory note for $45,000 to purchase equipment. See Notes to Financial Statements. F-4 OLYMPIC REHABILITATION SERVICES, INC. (A Development Stage Company) NOTES TO FINANCIAL STATEMENTS December 31, 1996 and 1995 NOTE 1: SUMMARY OF SIGNIFICANT ACCOUNTING PRINCIPLES Basis of Presentation The financial statements for all periods presented include the accounts of the following entities which merged with the Company on November 21, 1997: Orion Preventive Medicine, Inc. ("Orion"), and Allied Health Partners, Inc. ("Allied") and the following limited liability companies which merged into Allied prior to Allied merging with the Company: Allied Management Group, LLC (organized in 1995), South Oaks Rehabilitation Clinic, LLC (organized in 1996), North Oaks Rehabilitation Center, LLC (organized in 1996), and Health Care Partners, LLC (organized in 1996). The limited liability companies and Allied were owned by Richard A. Kellar, who is now the Company's President. These financial statements are presented to meet requirements of the Securities and Exchange Commission and to show the activities of the predecessor entities whose operations are now being continued through the Company. Olympic was incorporated to acquire the operating entities discussed above. Accounting Methods The Company recognizes income and expenses based on the accrual method of accounting. Dividend Policy The Company has not yet adopted any policy regarding payment of dividends. Property and Equipment Property and equipment is recorded at cost and is being depreciated over a useful life of five to thirty-nine years using the straight-line method. Cash and Cash Equivalents For financial statement purposes, the Company considers all highly liquid investments with an original maturity of three months or less when purchased to be cash equivalents. Estimates The preparation of financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosures of contingent assets and liabilities at the date of the financial statements and the reported amount of revenue and expenses during the reporting period. Actual results could differ from those estimates. Such estimates of significant accounting sensitivity are allowance for doubtful accounts. Income Taxes The Company records the income tax effect of transactions in the same year that the transactions enter into the determination of income, regardless of when the transactions are recognized for tax purposes. Tax credits are recorded in the year realized. The Company utilizes the liability method of accounting for income taxes as set forth in Statement of Financial Accounting Standards No. 109, "Accounting for Income Taxes" (SFAS 109). Under the liability method, deferred taxes are determined based on the differences between the financial statement and tax bases of assets and liabilities using enacted tax rates in effect in the years in which the differences are expected to reverse. An allowance against deferred tax assets is recorded when it is more likely than not that such tax benefits will not be realized. F-5 OLYMPIC REHABILITATION SERVICES, INC. (A Development Stage Company) NOTES TO FINANCIAL STATEMENTS (CONTINUED) December 31, 1996 and 1995 NOTE 1: SUMMARY OF SIGNIFICANT ACCOUNTING PRINCIPLES (continued) Income Taxes (continued) Prior to November 30, 1997, the operating entities were limited liability companies with income taxes being the responsibility of the member. Thus, no provision for income taxes has been made in the financial statements. NOTE 2: DEVELOPMENT STAGE COMPANY The Company was incorporated under the laws of the State of Louisiana on June 25, 1997 and has been in the development stage since incorporation. The Company has entered into the business of providing contract physical, occupational and activity therapy services to various hospitals and other medical providers. In addition the Company provides management services to several rehabilitation facilities. NOTE 3: CAPITALIZATION On the date of incorporation, the Company issued 10,000 shares of its common stock to Claire Technologies, Inc., a public company in exchange for organization costs paid by Claire which are immaterial to the financial statements and are not included herein. The Company's authorized stock is 10,000 shares of common stock at no par value. NOTE 4: PROPERTY AND EQUIPMENT Property and equipment has a cost of $531,306. The allowance for depreciation is $77,549 at December 31, 1996. Depreciation expense for the year ended December 31, 1996 was $77,549. NOTE 5: NOTES PAYABLE Notes payable at December 31, 1996 are as follows: Interest Principal Balances Related Parties: Rate (%) Current Long-term ---------- ------------ ----------- Linda Holliman 0 $ 27,000 $ 0 Barbara Kellar 0 110,000 0 Richard Kellar 0 27,150 0 Health Services Group 0 225,997 0 John Evans 0 27,000 0 K & K Leasing 0 18,740 0 ------------ ----------- 435,887 0 Other Creditors: Hibernia National Bank credit line 8.25 48,826 0 Hibernia National Bank (1) 6.10 60,000 0 Pecot & Associates (2) 8.00 8,041 31,944 ----------- ----------- 116,867 31,944 ----------- ----------- $ 552,754 $ 31,944 =========== =========== (1) Personally guaranteed by Richard A. Kellar and secured by his certificate of deposit. (2) Secured by equipment Scheduled principal reductions of notes payable are as follows: 1997 $ 552,754 1998 8,709 1999 9,431 2000 10,214 2001 3,590 ----------------- $ 584,698 ================= F-6 OLYMPIC REHABILITATION SERVICES, INC. (A Development Stage Company) NOTES TO FINANCIAL STATEMENTS (CONTINUED) December 31, 1996 and 1995 NOTE 6: COMMITMENTS The Company leases various property under short-term operating leases. At December 31, 1996, future expected lease payments were $29,706. During 1997, the Company began paying or accruing rent to Richard Kellar, the President, the monthly amount of $5,023, for the use of property owned by Mr. Kellar. F-7 SMITH & COMPANY CERTIFIED PUBLIC ACCOUNTANTS MEMBERS OF: CRANDALL BUILDING SUITE 700 AMERICAN INSTITUTE OF 10 WEST 100 SOUTH CERTIFIED PUBLIC ACCOUNTANTS SALT LAKE CITY, UTAH 84101 UTAH ASSOCIATION OF TELEPHONE: (801) 575-8297 CERTIFIED PUBLIC ACCOUNTANTS FACSIMILE: (801) 575-8306 - -------------------------------------------------------------------------------- Board of Directors and Shareholder Olympic Rehabilitation Services, Inc. Our audit of the basic financial statements presented in the preceding section of this report was made primarily to form an opinion on such financial statements taken as a whole. The additional information, contained in the following pages, is not considered essential for the fair presentation of the financial position of Olympic Rehabilitation Services, Inc., the results of its operations or cash flows in conformity with generally accepted accounting principles. The following information consisting of Schedule V and Schedule VI is included to comply with reporting requirements of the Securities and Exchange Commission. Such data was subjected to the audit procedures applied in the audit of the basic financial statements and, in our opinion, are fairly stated in all material respects in relation to the basic financial statements taken as a whole. /s/ Smith & Company CERTIFIED PUBLIC ACCOUNTANTS Salt Lake City, Utah March 12, 1998 F-8 OLYMPIC REHABILITATION SERVICES, INC. SCHEDULE V - PROPERTY, PLANT AND EQUIPMENT Balance at Balance Beginning Additions at End of Period at Cost Retirement of Period ------------------ ------------------ ----------------- ----------------- Year Ended December 31, 1995: Equipment $ 0 $ 0 $ 0 $ 0 Leasehold Improvements 0 0 0 0 ------------------ ------------------ ----------------- ----------------- $ 0 $ 0 $ 0 $ 0 ================== ================== ================= ================= Year Ended December 31, 1996: Equipment $ 0 $ 457,956 $ 0 $ 457,956 Leasehold Improvements 0 73,350 0 73,350 ------------------ ------------------ ----------------- ----------------- $ 0 $ 531,306 $ 0 $ 531,306 ================== ================== ================= ================= F-9 OLYMPIC REHABILITATION SERVICES, INC. SCHEDULE VI - ACCUMULATED DEPRECIATION OF PROPERTY, PLANT AND EQUIPMENT Additions Balance at Charged to Balance Beginning Costs and at End of Period Expenses Retirement of Period ------------------ ------------------ ----------------- ----------------- Year Ended December 31, 1995: Equipment $ 0 $ 0 $ 0 $ 0 Leasehold Improvements 0 0 0 0 ------------------ ------------------ ----------------- ----------------- $ 0 $ 0 $ 0 $ 0 ================== ================== ================= ================= Year Ended December 31, 1996: Equipment $ 0 $ 76,537 $ 0 $ 76,537 Leasehold Improvements 0 1,012 0 1,012 ------------------ ------------------ ----------------- ----------------- $ 0 $ 77,549 $ 0 $ 77,549 ================== ================== ================= ================= F-10