-----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, OjniFc17FmVXBj/2UsuCj+WphaJyRjTaZcZ7oOcTOE2j7JWzE5SCOh8dE2tujry1 b8vh0JHExfp2Em5K0Js2uA== 0000950133-03-000465.txt : 20030214 0000950133-03-000465.hdr.sgml : 20030214 20030214152254 ACCESSION NUMBER: 0000950133-03-000465 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20030214 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: 1934 Act SEC FILE NUMBER: 005-46163 FILM NUMBER: 03567187 BUSINESS ADDRESS: STREET 1: 7902 WESTPARK DR CITY: MCLEAN STATE: VA ZIP: 22102 BUSINESS PHONE: 7032737500 MAIL ADDRESS: STREET 1: 7902 WESTPARK DR CITY: MCLEAN STATE: VA ZIP: 22102 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: KLAASSEN PAUL J & TERESA M CENTRAL INDEX KEY: 0001031191 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 w83661bsc13gza.htm AMENDMENT NO.4 TO SCHEDULE 13G sc13gza
 



UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

SCHEDULE 13G

Under the Securities Exchange Act of 1934
(Amendment No. 4)*

Sunrise Assisted Living, Inc.

(Name of Issuer)

Common Stock, par value $.01 per share

(Title of Class of Securities)

86768K 10 6

(CUSIP Number)

December 31, 2001

(Date of Event Which Requires Filing of this Statement)

*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 in 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 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).

 

 

             
CUSIP No. 86768K 10 6 13G Page 2 of 6 Pages
  1. Name(s) of Reporting Persons:
Paul J. Klaassen **/		 I.R.S. Identification Nos. of above persons (entities only):
  2. Check the Appropriate Box if a Member of a Group (See Instructions):
    (a) [  ]  
    (b) [  ]  
  3. SEC Use Only:
  4. Citizenship or Place of Organization:
United States
Number of
Shares
Beneficially
Owned by
Each Reporting
Person With
5. Sole Voting Power:
3,102,280
6. Shared Voting Power:
-0-
7. Sole Dispositive Power:
3,102,280
8. Shared Dispositive Power:
-0-
  9. Aggregate Amount Beneficially Owned by Each Reporting Person:
3,102,280
  10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions):
N/A
  11. Percent of Class Represented by Amount in Row (9):
13.9%
  12. Type of Reporting Person (See Instructions):
IN

**/ The shares are held jointly by Mr. and Mrs. Klaassen as tenants by the entireties, except for stock options to purchase 175,000 shares of common stock which are held individually by Mr. Klaassen.

 

 

             
CUSIP No. 86768K 10 6 13G Page 3 of 6 Pages
  1. Name(s) of Reporting Persons:
Teresa M. Klaassen **/		 I.R.S. Identification Nos. of above persons (entities only):
  2. Check the Appropriate Box if a Member of a Group (See Instructions):
    (a) [  ]  
    (b) [  ]  
  3. SEC Use Only:
  4. Citizenship or Place of Organization:
United States
Number of
Shares
Beneficially
Owned by
Each Reporting
Person With
5. Sole Voting Power:
2,927,280
6. Shared Voting Power:
-0-
7. Sole Dispositive Power:
2,927,280
8. Shared Dispositive Power:
-0-
  9. Aggregate Amount Beneficially Owned by Each Reporting Person:
2,927,280
  10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions):
N/A
  11. Percent of Class Represented by Amount in Row (9):
13.2%
  12. Type of Reporting Person (See Instructions):
IN

**/ The shares are held jointly by Mr. and Mrs. Klaassen as tenants by the entireties, except for stock options to purchase 175,000 shares of common stock which are held individually by Mr. Klaassen.

 

 

             
CUSIP No. 86768K 10 6 13G Page 4 of 6 Pages
       
Item 1.
  (a) Name of Issuer:
    Sunrise Assisted Living, Inc.
  (b) Address of Issuer’s Principal Executive Offices:
    7902 Westpark Drive
McLean, VA 22102
 
Item 2.
  (a) Name of Person Filing:
    Paul J. and Teresa M. Klaassen
  (b) Address of Principal Business Office or, if none, Residence:
    7902 Westpark Drive
McLean, VA 22102
  (c) Citizenship:
    United States
  (d) Title of Class of Securities:
    Common Stock
  (e) CUSIP Number:
    86768K 10 6
 
Item 3. If this statement is filed pursuant to §240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:
  Not applicable.

 

             
CUSIP No. 86768K 10 6 13G Page 5 of 6 Pages
       
Item 4. Ownership.
  As of December 31, 2001:
  (a) Amount beneficially owned:
    3,102,280 (Paul J. Klaassen)
2,927,280 (Teresa M. Klaassen)
  (b) Percent of class:
    13.9% (Paul J. Klaassen)
13.2% (Teresa M. Klaassen)
  (c) Number of shares as to which the person has:
    (i) Sole power to vote or to direct the vote:
      3,102,280 (Paul J. Klaassen)
2,927,280 (Teresa M. Klaassen)
    (ii) Shared power to vote or to direct the vote:
      None
    (iii) Sole power to dispose or to direct the disposition of:
      3,102,280 (Paul J. Klaassen)
2,927,280 (Teresa M. Klaassen)
    (iv) Shared power to dispose or to direct the disposition of:
      None
Item 5. Ownership of Five Percent or Less of a Class.
  Not applicable.

 

 

             
CUSIP No. 86768K 10 6 13G Page 6 of 6 Pages
       
Item 6. Ownership of More than Five Percent on Behalf of Another Person.
  Not applicable.
 
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 14, 2003
   
   
 
   
By: /s/ Paul J. Klaassen
 
  Paul J. Klaassen
   
   
 
By: /s/ Teresa M. Klaassen
 
  Teresa M. Klaassen
   

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