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Berggruen Nicolas – ‘3’ for 10/10/00 re: Opticare Health Systems Inc.

As of:  Friday, 10/20/00   ·   For:  10/10/00   ·   Accession #:  1125282-0-48   ·   File #:  1-15223

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  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

10/20/00  Berggruen Nicolas                 3          10% Owner   1:8K   Opticare Health Systems Inc.      Bowne & C… Smartedgar/FA

Initial Statement of Beneficial Ownership of Securities by an Insider   —   Form 3   —   SEA’34
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 3           Initial Statement of Beneficial Ownership of           3     13K 
                Securities by an Insider                                         

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------ ------------------------------------ FORM 3 OMB APPROVAL ------ ------------------------------------ OMB Number 3235-0104 Expires: December 31, 2001 Estimated average burden hours per response .............0.5 ------------------------------------ UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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 (Print or Type Responses) ------------------------------------------------------------------------------- 1. Name and Address of Reporting Person* Berggruen Nicolas -------------------------------------------------------------------- (Last) (First) (Middle) 499 Park Avenue -------------------------------------------------------------------- (Street) New York NY 10022 -------------------------------------------------------------------- (City) (State) (Zip) 2. Date of Event Requiring Statement (Month/Day/Year) 10/10/00 ------------------------------------------------------------------------------- 3. IRS Identification Number of Reporting Person, if an entity (Voluntary) ------------------------------------------------------------------------------- 4. Issuer Name and Ticket or Trading Symbol OptiCare Health Systems, Inc. ("OPT") ------------------------------------------------------------------------------- 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) [ ] Director [ X ] 10% Owner [ ] Officer (give title below) [ ] Other (specify below) ------------------------------------------------------------------------------- 6. If Amendment, Date of Original (Month/Day/Year) ------------------------------------------------------------------------------- 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 Beneficially Owned [Enlarge/Download Table] ----------------------------------------------------------------------------------------------------------------------------------- 1. Title of Security | 2. Amount of Securities | 3. Ownership Form: | 4. Nature of Indirect Beneficial (Instr. 4) | Beneficially Owned | Direct (D) or Indirect | Ownership (Instr. 5) | (Instr. 4) | (I) (Instr. 5) | ----------------------------------------------------------------------------------------------------------------------------------- Common Stock, par value | | | $.001 per share | 154,026 | I(1) | ----------------------------------------------------------------------------------------------------------------------------------- Reminder: Report on a seperate line for each class of securities beneficially owned directly or indirectly. * If the form is filed by more than one reporting person, see Instruction 5(b)(v). Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. Page 1 of 2
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[Enlarge/Download Table] FORM 3 (continued) Table II -- Derivative Securities Benefically Owned (e.g., puts, calls, warrants, options, convertible securities) --------------------------------------------------------------------------------------------- 1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date | (Month/Day/Year) |----------------------------------------- | Date Exercisable | Expiration Date --------------------------------------------------------------------------------------------- | | Common Stock Warrants (right to buy) | 11/10/00 | 10/01/05 --------------------------------------------------------------------------------------------- =================================================================================================================================== 3. Title and Amount of Securities | 4. Conversion or Exercise | 5. Ownership Form of Derivative | 6. Nature of Indirect Underlying Derivative Security | Price of Derivative | Security: Direct (D) or | Beneficial Ownership (Instr. 4) | Security | Indirect (I) (Instr. 5) | (Instr. 5) -----------------------------------------| | | | Amount or | | | | Number of | | | Title | Shares | | | ----------------------------------------------------------------------------------------------------------------------------------- | | | | Common Stock, par value | | | | $.001 per share | 2,250,000 | $1.00 | I(2) | ----------------------------------------------------------------------------------------------------------------------------------- Explanation of Responses: (1) Nicolas Berggruen acts as the investment advisor to Alexander Enterprise Holding Corp., a British Virgin Islands corporation ("Alexander"), which holds 154,026 shares of Common Stock of OptiCare Health Systems, Inc. (the "Company"). Nicolas Berggruen disclaims beneficial ownership of, and does not have a pecuniary interest in, the shares of Common Stock of the Company held by Alexander and this Report shall not be deemed an admission that Nicolas Berggruen is a beneficial owner of such securities for purposes of Section 16 or for any other purpose. (2) Nicolas Berggruen acts as an investment advisor to Medici I Investment Corp., a British Virgin Islands corporation ("Medici"), which holds warrants to purchase 2,250,000 shares of Common Stock from the Company. Nicolas Berggruen disclaims beneficial ownership of, and does not have a pecuniary interest in, the shares of Common Stock held by Medici and this Report shall not be deemed an admission that Nicolas Berggruen is a beneficial owner of such securities for purposes of Section 16 or for any other purpose. ** 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 is insufficient, See Instruction 6 for procedure. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. /s/ Nicolas Berggruen 10/20/00 ---------------------------------- --------------------------- Nicolas Berggruen Date Page 2 of 2

Dates Referenced Herein   and   Documents Incorporated by Reference

Referenced-On Page
This ‘3’ Filing    Date First  Last      Other Filings
12/31/01110-K,  5,  ARS
Filed on:10/20/00SC 13G
For Period end:10/10/00
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Filing Submission 0001125282-00-000048   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

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