-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, PviFqz2cpaooFdXZLDVH9zzwGXey4M2tzSzaUNBAayXlpZ4+iaQzlDcQY3IPKEC/ zWxXF2WDDJn6zZCYXbFy4A== 0000950133-99-000483.txt : 19990217 0000950133-99-000483.hdr.sgml : 19990217 ACCESSION NUMBER: 0000950133-99-000483 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19990216 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: SUNRISE ASSISTED LIVING INC CENTRAL INDEX KEY: 0001011064 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-NURSING & PERSONAL CARE FACILITIES [8050] IRS NUMBER: 541746596 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: SEC FILE NUMBER: 005-46163 FILM NUMBER: 99540888 BUSINESS ADDRESS: STREET 1: 9401 LEE HIGHWAY STREET 2: STE 300 CITY: FAIRFAX STATE: VA ZIP: 22031 BUSINESS PHONE: 7032737500 MAIL ADDRESS: STREET 1: 9401 LEE HIGHWAY STREET 2: STE 300 CITY: FAIRFAX STATE: VA ZIP: 22031 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: KLAASSEN PAUL J & TERESA M CENTRAL INDEX KEY: 0001031191 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 9401 LEE HIGHWAY STREET 2: STE 300 CITY: FAIRFAX STATE: VA ZIP: 22031 BUSINESS PHONE: 7032737500 MAIL ADDRESS: STREET 1: 9401 LEE HIGHWAY STREET 2: STE 300 CITY: FAIRFAX STATE: VA ZIP: 22031 SC 13G/A 1 SCHEDULE 13G (AMENDMENT NO. 2) 1 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G UNDER THE SECURITIES EXCHANGE ACT OF 1934 (AMENDMENT NO. 2)* Sunrise Assisted Living, Inc. - -------------------------------------------------------------------------------- (Name of Issuer) Common stock, par value $.01 per share - -------------------------------------------------------------------------------- (Title of Class of Securities) 86768K 10 6 ------------------------------------------------------------ (CUSIP Number) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: [ ] Rule 13d-1(b) [ ] Rule 13d-1(c) [X] Rule 13d-1(d) *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page. The information required on the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). 2 SCHEDULE 13G CUSIP No. 86768K 10 6 Page 2 of 6 Pages ----------- --------- ------- - ---------------------------------------------------------------------------------------------------------------------------- 1 NAMES OF REPORTING PERSONS S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS Paul J. Klaassen **/ - ---------------------------------------------------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] - ---------------------------------------------------------------------------------------------------------------------------- 3 SEC USE ONLY - ---------------------------------------------------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States - ---------------------------------------------------------------------------------------------------------------------------- 5 SOLE VOTING POWER 2,800,780 NUMBER OF ------------------------------------------------------------------------------------------------ SHARES 6 SHARED VOTING POWER BENEFICIALLY -0- OWNED BY ------------------------------------------------------------------------------------------------ EACH 7 SOLE DISPOSITIVE POWER REPORTING 2,800,780 PERSON WITH ------------------------------------------------------------------------------------------------ 8 SHARED DISPOSITIVE POWER -0- - ---------------------------------------------------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 2,800,780 - ---------------------------------------------------------------------------------------------------------------------------- 10 CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* N/A - ---------------------------------------------------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 14.4% - ---------------------------------------------------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* IN - ---------------------------------------------------------------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT!
**/ The shares are held jointly by Mr. and Mrs. Klaassen as tenants by the entireties. 3 SCHEDULE 13G CUSIP No. 86768K 10 6 Page 3 of 6 Pages ----------- --------- ------- - ---------------------------------------------------------------------------------------------------------------------------- 1 NAMES OF REPORTING PERSONS S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS Teresa M. Klaassen **/ - ---------------------------------------------------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] - ---------------------------------------------------------------------------------------------------------------------------- 3 SEC USE ONLY - ---------------------------------------------------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States - ---------------------------------------------------------------------------------------------------------------------------- 5 SOLE VOTING POWER 2,800,780 NUMBER OF ------------------------------------------------------------------------------------------------ SHARES 6 SHARED VOTING POWER BENEFICIALLY -0- OWNED BY ------------------------------------------------------------------------------------------------ EACH 7 SOLE DISPOSITIVE POWER REPORTING 2,800,780 PERSON WITH ------------------------------------------------------------------------------------------------ 8 SHARED DISPOSITIVE POWER -0- - ---------------------------------------------------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 2,800,780 - ---------------------------------------------------------------------------------------------------------------------------- 10 CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* N/A - ---------------------------------------------------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 14.4% - ---------------------------------------------------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* IN - ---------------------------------------------------------------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT!
**/ The shares are held jointly by Mr. and Mrs. Klaassen as tenants by the entireties. 4 SCHEDULE 13G CUSIP No. 86768K 10 6 Page 4 of 6 Pages ----------- --------- ------- Item 1 (a) Name of Issuer: Sunrise Assisted Living, Inc. (b) Address of Issuer's Principal Executive Offices: 9401 Lee Highway, Suite 300 Fairfax, VA 22301 Item 2(a): Name of Persons Filing: Paul J. and Teresa M. Klaassen (b) Address of Principal Business Office or, if none, Residence: 9401 Lee Highway, Suite 300 Fairfax, VA 22301 (c) Citizenship: United States (d) Title of Class of Securities: Common Stock (e) CUSIP Number: 86768K 10 6 Item 3: Capacity in Which Person is Filing if Statement is Filed Pursuant to Rule 13d-1(b) or 13d-2(b) or (c): Not applicable. 5 SCHEDULE 13G CUSIP No. 86768K 10 6 Page 5 of 6 Pages ----------- --------- ------- Item 4: Ownership: As of December 31, 1998: (a) Amount Beneficially Owned: 2,800,780 (b) Percent of class: 14.4% (c) Number of shares to which such person has: (i) Sole power to vote or to direct the vote: 2,800,780 (ii) Shared power to vote or to direct the vote: None (iii) Sole power to dispose or to direct the disposition of: 2,800,780 (iv) Shared power to dispose or to direct the disposition of: None Item 5: Ownership of Five Percent or Less of Class: Not applicable. Item 6: Ownership of More than Five Percent on Behalf of Another Person: Not applicable. 6 SCHEDULE 13G CUSIP No. 86768K 10 6 Page 6 of 6 Pages ----------- --------- ------- Item 7: Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company: Not applicable. Item 8: Identification and Classification of Members of the Group: Not applicable. Item 9: Notice of Dissolution of Group: Not applicable. Item 10: Certification: Not applicable. SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. Date: February 16, 1999 By: /s/ PAUL J. KLAASSEN ---------------------------------- Paul J. Klaassen By: /s/ TERESA M. KLAASSEN ---------------------------------- Teresa M. Klaassen -----END PRIVACY-ENHANCED MESSAGE-----