AMENDMENT TO AMENDED AND RESTATED
OPTION TO PURCHASE
500,000 PREFERRED SHARES
OF
PROVIDENT AMERICAN CORPORATION
AGREEMENT made effective as of the 9th day of September, 1999, between
PROVIDENT AMERICAN CORPORATION ("PAMCO") and ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ("Owner").
BACKGROUND
A. PAMCO and Owner entered into an Amended and Restated Option to
Purchase 500,000 Preferred Shares (the "Shares") of Provident American
Corporation dated December 11, 1996 ("Option Agreement").
B. By reason of a stock dividend declared by PAMCO in April, 1993 and
pursuant to the Option Agreement, the number of shares which Owner could
exercise pursuant to the Option Agreement was 550,000.
C. The parties are desirous of amending the Option Agreement.
NOW, THEREFORE, for and in consideration of the sum of Ten ($10.00)
Dollars and other good and valuable consideration , the receipt of which is
hereby acknowledged, and intending to be legally bound, the parties hereto agree
as follows:
1. Release of Options. Owner hereby releases and assigns to PAMCO all
rights, title, and interest in and to options to purchase One Hundred Fifty Two
Thousand Eight Hundred Two (152,802) of the Shares.
2. Conversion Rights. The Option Agreement shall be amended to change
the right to purchase all or any part of an aggregate of Five Hundred and Fifty
Thousand (550,000) Shares to the right to purchase all or any part of an
aggregate of Three Hundred Ninety Seven Thousand One Hundred Ninety Eight
(397,198) shares of PAMCO's common stock.
From and after the effective date of this Agreement, Owner shall not
have any right of any kind whatsoever to exercise any or all options pursuant to
the Option Agreement, as hereby amended, to purchase Series A Preferred Stock,
Class A Common Stock or any other class or type of securities other than PAMCO's
Common Stock.
3. As herein amended, the provisions of the Option Agreement are hereby
ratified, approved and affirmed.
4. The Option Agreement, as amended by this Agreement, states the
entire understanding among the parties hereto with respect to the subject matter
hereof, and supercedes all prior oral or written communications and agreements
with respect to the subject matter hereof.
IN WITNESS WHEREOF, the parties hereto have placed their hands and
seals as of the day and year above first written.
PROVIDENT AMERICAN CORPORATION
By:__________________________________
▇▇▇▇▇▇▇ ▇▇▇▇▇▇, President
__________________________________
▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇
