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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549


Form 10-K

(Mark One)


ý


ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934

For the year ended September 30, 2000
OR


o


TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934

FOR THE TRANSITION PERIOD FROM                              TO                             .

COMMISSION FILE NUMBER: 000-00000

Sample Corporation, Inc.
(Exact name of registrant as specified in its charter)

Any State
(State or other jurisdiction of
incorporation or organization)

 

00-0000000
(I.R.S. Employer
Identification No.)

 

 

 

Street Address, City, State
(Address of principal executive offices)

 

00000
(Zip Code)

Registrant's telephone number, including area code: (000) 000-0000

Securities registered pursuant to Section 12(b) of the Act: None

Securities registered pursuant to Section 12(g) of the Act: Common Stock, $0.001 par value per share

        Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), YES ý    NO o and (2) has been subject to such filing requirements for the past 90 days. YES o    NO ý

        Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, to the best of the registrant's knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K. ý

        As of Any Date, 2000, the aggregate market value of voting stock held by non-affiliates of the Registrant was $0.

        The number of shares of the Registrant's common stock outstanding as of Any Date, 2000 was 0.

        Documents incorporated by reference: portions of the Registrant's proxy statement for its 2000 annual meeting of shareholders are incorporated by reference. See Sample Corporation Proxy Statement.

 



 

Aggregated Option Exercises in Last Fiscal Year
and FY-End Option Values

        The following table summarizes information with respect to options held by the executive officers named in the Summary Compensation Table and the value of the options held by such persons as of the end of the last fiscal year.

Name

 

Shares Acquired on Exercise(#)

 

Value Realized($)

 

Number of Unexercised Options at FY-End (#)

 

Value of Unexercised In-The Money Options at FY-End ($)

 

Exercisable

 

Unexercisable

Exercisable

 

Unexercisable

Paul Donald

 

-

 

-

 

35,050

 

150,000

 

41

 

70,800

 

David E. Kelley

 

-

 

-

 

-

 

-

 

-

 

-

 

Michael A. Smith

 

-

 

-

 

17,925

 

34,625

 

41

 

14,160

 

Peter P. Jones

 

-

 

-

 

19,675

 

37,875

 

41

 

14,160

 

Michael J. Paulson

 

-

 

-

 

27,175

 

30,375

 

41

 

14,160

 

Roger D. Rabbit

 

-

 

-

 

27,300

 

37,750

 

41

 

14,160

 

Performance Graph

        The following performance graph compares cumulative total shareholder returns on the Company's common stock over the last five fiscal years, ended April 30, 2000, with The Nasdaq Stock Market (U.S. Companies) Index and the Nasdaq Non-Financial Stock Index, assuming an initial investment of $100 at the beginning of the period and the reinvestment of all dividends.


COMPARISON OF FIVE YEAR-CUMULATIVE TOTAL RETURNS*
PERFORMANCE GRAPH FOR
SAMPLE CORPORATION, INC.
Prepared by the Practice Team

         LOGO

*$100 INVESTED ON 4/30/95 IN STOCK OR INDEX-
  INCLUDING REINVESTMENT OF DIVIDENDS.
  FISCAL YEAR ENDING APRIL 30.



 

Sample Corporation, Inc.

Notes to Financial Statements

ARTWORK

(1)    The Company

        Sample Corporation, Inc. (the Company) was incorporated on Any Date, 1998. The Company provides Internet performance measurement and diagnostic services that enable e-commerce companies to measure, assure and improve the quality of service of their websites. See Company Services.

(2)    Summary of Significant Accounting Policies

(a)    Revenue Recognition

        Subscription services revenue consists of fees from subscriptions to the Company's Internet measurement and diagnostic services. Subscription revenues are deferred upon the customer's invoicing and are recognized ratably over the service period.* Deferred revenue is comprised entirely of deferred subscription revenue.


*    The service period generally ranges from one to twelve months.

(b)    Use of 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 disclosure of contingent assets and liabilities at the date of the financial statements.

 

By Order of the Board of Directors

 

LOGO

 

Jane Doe

(3)    Property and Equipment

        A summary of property and equipment consisted of the following (in thousands):

 

 

Any Date,

 

 

 

2000

 

1998

 

Computer equipment and software

 

$

0,000

 

$

0,000

 

Furniture and fixtures

 

000

 

00

 

Leasehold improvements

 

00

 

00

 

 

 

0,000

 

0,000

 

Less accumulated depreciation and amortization

 

(0,000

)

(000

)

 

 

$

0,000

 

$

0,000

 

 

 

3



 

(4) Notes Payable

        Notes payable comprised the following (in thousands):

 

 

Any Date,

 

 

 

2000

 

1998

 

Equipment notes at an annual interest rate of between 0.0% and 0.0% payable in monthly installments, aggregating approximately $000,000 monthly through Any Date

 

$

0,000

 

$

000

 

Promissory note at an annual interest rate of 0.00% payable in Any Date

 

000

 

-

 

Discount

 

(00

)

(00

)

 

 

0,000

 

000

 

Less current portion

 

0,000

 

000

 

 

 

$

0,000

 

$

000

 

        As of September 30, 2000, the aggregate maturities of notes payable for the years ending September 30, 2000, 2001 and 2002 are as follows: $1,189,000, $1,661,000 and $989,000, respectively. The Company has granted a security interest in a portion of its assets to secure the equipment and promissory notes.

        In connection with certain of the equipment notes, the Company issued warrants for the purchase of 145,454 shares of common stock at $0.55 per share and warrants for the purchase of 376,238 shares of common stock at $0.65 and $0.90 per share. Of the 145,454 warrants issued, 72,727 expire today.

Customers

        We sell our Service 1 services to our customers on a subscription basis. As of Any Date, we provided service to over 0 companies including the following companies, which are rated top 500 websites:

Online Retailers
ABC Company
DEF Company
GHI Company
KLM Company
NOP Company
QRS Company
TUV Company
WXY Company
ZZZ Company
ABC Company
DEF Company
GHI Company
KLM Company
NOP Company
QRS Company
Bullseye Company
TUV Company
WXY Company
ZZZ Company
ABC Company
DEF Company
GHI Company
KLM Company
NOP Company
QRS Company
TUV Company
WXY Company
ZZZ Company
ABC Company
DEF Company
GHI Company
KLM Company
NOP Company
QRS Company
Computer Products and Services
ABC Company
DEF Company
GHI Company
KLM Company
NOP Company
QRS Company
TUV Company
WXY Company
ZZZ Company
Sugar Company
ABC Company
DEF Company
GHI Company
KLM Company
NOP Company
QRS Company
TUV Company
WXY Company
ZZZ Company
Content Site
ABC Company
DEF Company
GHI Company
KLM Company
NOP Company
QRS Company
TUV Company
WXY Company
ZZZ Company
ABC Company
DEF Company
GHI Company
KLM Company
NOP Company

        Our customers typically enter into an initial three-month subscription agreement to purchase our services and then may choose to renew these services on a monthly basis after the initial term.

 

 

4



 

PRO FORMA CONDENSED CONSOLIDATED STATEMENT OF OPERATIONS
FOR THE YEAR ENDED DECEMBER 31, 2000
(UNAUDITED)

(Amounts in thousands, except per share data)

 

 

Company A Line of Business of Sample Corporation Any Date through Any Date, 2000 (Historical)

 

Company A Any Date through Any Date, 2000 (Historical)

 

Predecessor Line of Business of Company B Any Date through Any Date, 1998 (Historical)

 

Company A, Foreign Any Date, 1998 through Any Date, 1998 (Historical)

 

Pro Forma Adjustments

 

Pro Forma Consolidated

 

Company A Line of Business of Sample Corporation Any Date through Any Date, 2000 (Historical)

 

Company A Line of Business of Sample Corporation Any Date through Any Date, 2000 (Historical)

 

Revenues

 

$

000

 

$

0,000

 

000

 

$

00

 

$

-

 

0,000

 

$

000

 

$

000

 

Cost of revenues

 

00

 

0,000

 

00

 

00

 

-

 

0,000

 

00

 

00

 

Gross profit

 

000

 

000

 

000

 

00

 

-

 

0,000

 

000

 

000

 

Operating expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sales and marketing

 

-

 

000

 

-

 

0

 

-

 

000

 

-

 

-

 

General and administrative

 

000

 

000

 

000

 

00

 

-

 

000

 

000

 

000

 

Technology enhancements

 

-

 

000

 

-

 

-

 

-

 

000

 

-

 

-

 

Stock-based compensation

 

-

 

00

 

-

 

-

 

-

 

00

 

-

 

-

 

Amortization of intangibles and acquired software

 

-

 

00

 

-

 

-

 

000

(0)

000

 

-

 

-

 

Total operating expenses

 

000

 

0,000

 

000

 

00

 

000

 

0,000

 

000

 

000

 

Income (loss) from operations

 

00

 

(000

)

00