-----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, OGSAbPYbi5JSZ8GJzZc7LVS4veRZNLG+Ha7C4p53yam/eMRnqikAsRRvLL97QI3x S1JjTei0taZVL3prYdDuOA== 0000950133-05-000477.txt : 20050211 0000950133-05-000477.hdr.sgml : 20050211 20050211145136 ACCESSION NUMBER: 0000950133-05-000477 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20050211 DATE AS OF CHANGE: 20050211 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: SUNRISE SENIOR 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: 05597664 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 FORMER COMPANY: FORMER CONFORMED NAME: SUNRISE ASSISTED LIVING INC DATE OF NAME CHANGE: 19960321 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 w05744sc13gza.htm AMENDMENT NO. 7 TO SCHEDULE 13G sc13gza
 

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

SCHEDULE 13G

Under the Securities Exchange Act of 1934
(Amendment No. 7)*

Sunrise Senior Living, Inc.

(Name of Issuer)

Common stock, par value $0.01 per share

(Title of Class of Securities)

86768K 10 6

(CUSIP Number)

December 31, 2004

(Date of Event Which Requires Filing of this Statement)

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

     
o Rule 13d-1(b)
o 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 the 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 (“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).

Persons who 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.

SEC 1745 (12-02)

 

     
CUSIP No. 86768K 10 6 13 G Page 2 of 6 Pages

  1. Names of Reporting Persons.
I.R.S. Identification Nos. of above persons (entities only).

Paul J. Klaassen **/

  2. Check the Appropriate Box if a Member of a Group (See Instructions)

     (a)   o

     (b)   o

  3. SEC Use Only

  4. Citizenship or Place of Organization

United States

  5.   Sole Voting Power
    -0-
Number of   6.   Shared Voting Power
Shares     3,333,662
Beneficially      
Owned by Each   7.   Sole Dispositive Power
Reporting     -0-
Person    
With:   8.   Shared Dispositive Power
    3,333,662
  9. Aggregate Amount Beneficially Owned by Each Reporting Person

3,333,662
  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)
15.9%
  12. Type of Reporting Person (See Instructions)

IN

**/Consists of (i) 2,891,320 shares held jointly by Mr. and Mrs. Klaassen as tenants by the entireties, (ii) stock options to purchase 350,000 shares of common stock held individually by Mr. Klaassen, (iii) 23,100 shares of restricted stock held individually by Mr. Klaassen, (iv) 5,597 restricted stock units held individually by Mr. Klaassen and (v) 63,645 shares held by The Klaassen Family Private Foundation.

 

     
CUSIP No. 86768K 10 6 13 G Page 3 of 6 Pages

  1. Names of Reporting Persons.
I.R.S. Identification Nos. of above persons (entities only).

Teresa M. Klaassen **/

  2. Check the Appropriate Box if a Member of a Group (See Instructions)

     (a)   o

     (b)   o

  3. SEC Use Only

  4. Citizenship or Place of Organization

United States

  5.   Sole Voting Power
    -0-
Number of   6.   Shared Voting Power
Shares     3,333,662
Beneficially      
Owned by Each   7.   Sole Dispositive Power
Reporting     -0-
Person    
With:   8.   Shared Dispositive Power
    3,333,662
  9. Aggregate Amount Beneficially Owned by Each Reporting Person

3,333,662
  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)
15.9%
  12. Type of Reporting Person (See Instructions)

IN

**/Consists of (i) 2,891,320 shares held jointly by Mr. and Mrs. Klaassen as tenants by the entireties, (ii) stock options to purchase 350,000 shares of common stock held individually by Mr. Klaassen, (iii) 23,100 shares of restricted stock held individually by Mr. Klaassen, (iv) 5,597 restricted stock units held individually by Mr. Klaassen and (v) 63,645 shares held by The Klaassen Family Private Foundation.

 

SCHEDULE 13G

CUSIP No. 86768K 10 6   Page 4 of 6 Pages
         
 
        
Item 1.
 
        
  (a)   Name of Issuer:
 
        
      Sunrise Senior Living, Inc.
 
        
  (b)   Address of Issuer’s Principal Executive Offices:
 
        
      7902 Westpark Drive
McLean, Virginia 22102
 
        
Item 2.
 
        
  (a)   Name of Persons Filing:
 
        
      Paul J. and Teresa M. Klaassen
 
        
  (b)   Address of Principal Business Office or, if none, Residence:
 
        
      7902 Westpark Drive
McLean, Virginia 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.

 

 

SCHEDULE 13G

CUSIP No. 86768K 10 6   Page 5 of 6 Pages

Item 4.      Ownership:

     Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.

         
  (a)   Amount beneficially owned:
 
        
      3,333,662 (Paul J. Klaassen)
3,333,662 (Teresa M. Klaassen)
 
        
  (b)   Percent of class:
 
        
      15.9% (Paul J. Klaassen)
15.9% (Teresa M. Klaassen)
 
        
  (c)   Number of shares to which the person has:
 
        

  (i)   Sole power to vote or to direct the vote:
 
      None
 
  (ii)   Shared power to vote or to direct the vote:
 
      3,333,662 (Paul J. Klaassen)
3,333,662 (Teresa M. Klaassen)
 
  (iii)   Sole power to dispose or to direct the disposition of:
 
      None
 
  (iv)   Shared power to dispose or to direct the disposition of:
 
      3,333,662 (Paul J. Klaassen)
3,333,662 (Teresa M. Klaassen)

Item 5.      Ownership of Five Percent or Less of Class:

                  Not applicable.

 

 

SCHEDULE 13G

CUSIP No. 86768K 10 6   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 11, 2005

By: /s/ Paul J. Klaassen
       Paul J. Klaassen

 

By: /s/ Teresa M. Klaassen
       Teresa M. Klaassen

 

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