Exhibit 4(l)
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PROMISSORY NOTE
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$_______________ Lenexa, Kansas
May 5, 1998
FOR VALUE RECEIVED, the undersigned, Integrated Medical Resources, Inc., a
Kansas corporation (the "Maker"), hereby promises to pay on demand, at any time
beginning May 29, 1998, to the order of _____________________________ (together
with its successors and assigns, the "Holder"), the principal sum of
__________________________________ _____________________ ($__________), together
with interest at the rate of eight and one-half percent (8.5%) per annum,
compounded monthly on the unpaid principal balance hereof. Interest shall be
computed on the basis of a 360-day year.
1. Prepayment. The Maker reserves the right to prepay all or any portion
of this Promissory Note at any time and from time to time without premium or
penalty of any kind.
2. Payment Instructions and Allocations. All principal and interest
payments made hereunder shall be made in lawful currency of the United States of
America or, at the option of the Maker and the Holder, as credit towards the
exercise price of one or more options to purchase securities of the Maker which
were granted to Holder by Maker pursuant to a Convertible Note dated May 5,
1998, as amended, in the original principal amount of $__________.
3. Assignment. The rights and obligations of the Maker and the Holder of
this Promissory Note shall be binding upon and benefit the successors, assigns,
heirs, administrators and transferees of the parties.
4. Amendment/Modification. Any provision of this Promissory Note may be
amended, waived or modified upon the written consent of the Holder and the
Maker.
5. Notices. All notices or other communications required to be made
hereunder shall be in writing, mailed postage prepaid, or delivered by hand,
recognized courier or telecopier, and shall be sent to the Maker or to the
Holder at the following addresses:
If to the Maker, to:
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Integrated Medical Resources, Inc.
00000 Xxxx 00xx Xxxxxx
Xxxxxx, Xxxxxx 00000
Attention: Xxxx X. Xxxxx, M.D.
Facsimile: (000) 000-0000
If to the Holder, to:
____________________________
____________________________
____________________________
Attention: ________________
Facsimile: ________________
or to such other addresses or facsimile numbers as either shall give notice
of to the other under this section.
6. Governing Law. This Promissory Note shall be governed by and construed
and enforced in accordance with the laws of the State of Kansas.
7. Headings. All headings used herein are used for convenience only and
shall not be used to construe or interpret this Note.
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IN WITNESS WHEREOF, the undersigned had duly caused this Promissory Note to
be executed and delivered at the place specified above and as of the date first
written above.
Integrated Medical Resources, Inc.
By: _____________________________
Name: X. Xxxxxxx Xxxxxxxxx
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Title: Chairman & CEO
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