-----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, F2jAyN6DgAOSZxSwmlrUVkE0oU4OtYR4q9Vgwoxsu8oH4UgPHiLkA82P+JcF0ICc 2gZmDatHiwMseh+IWAwbHA== 0000898430-97-000737.txt : 19970223 0000898430-97-000737.hdr.sgml : 19970223 ACCESSION NUMBER: 0000898430-97-000737 CONFORMED SUBMISSION TYPE: SC 13G/A CONFIRMING COPY: PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970221 SROS: AMEX SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: ASSISTED LIVING CONCEPTS INC CENTRAL INDEX KEY: 0000929994 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SOCIAL SERVICES [8300] IRS NUMBER: 931148702 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-43405 FILM NUMBER: 00000000 BUSINESS ADDRESS: STREET 1: 10570 SE WASHINGTON STREET 2: STE 213 CITY: PORTLAND STATE: OR ZIP: 97216 BUSINESS PHONE: 5032526233 MAIL ADDRESS: STREET 1: 9955 SE WASHINGTON, SUITE 201 CITY: PORTLAND STATE: OR ZIP: 97216 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: MCBRIDE WILLIAM III CENTRAL INDEX KEY: 0000938131 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 9955 SE WASHINGTON STREET 2: SUITE 201 CITY: PORTLAND STATE: OR ZIP: 97216 BUSINESS PHONE: 5032526233 MAIL ADDRESS: STREET 1: 9955 SE WASHINGTON STREET 2: SUITE 213 CITY: PORTLAND STATE: OR ZIP: 97216 SC 13G/A 1 AMENDMENT NO. 2 THIS DOCUMENT IS A COPY OF THE SCHEDULE 13G FILED ON FEBRUARY 18, 1997 PURSUANT TO A RULE 201 TEMPORARY HARDSHIP EXEMPTION. SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G (AMENDMENT NO. 2) Under the Securities Exchange Act of 1934 ASSISTED LIVING CONCEPTS, INC. (Name of issuer) COMMON STOCK (Title of class of securities) 04543L 109 (CUSIP number) Check the following box if a fee is being paid with the statement [_]. (A fee is not required only if the reporting person: (1) has a previous statement on file reporting beneficial ownership of more than five percent of the class of securities described in Item 1; and (2) has filed no amendment subsequent thereto reporting beneficial ownership of five percent or less of such class.) (See Rule 13d-7.) * 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). Page 1 of 6 Pages - ----------------------- --------------------- CUSIP NO. 04543L 109 13G PAGE 2 OF 6 PAGES - ----------------------- --------------------- - ------------------------------------------------------------------------------ NAME OF REPORTING PERSON 1 S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON William McBride III - ------------------------------------------------------------------------------ CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* 2 (a) [_] (b) [_] - ------------------------------------------------------------------------------ SEC USE ONLY 3 - ------------------------------------------------------------------------------ CITIZENSHIP OR PLACE OF ORGANIZATION 4 United States - ------------------------------------------------------------------------------ SOLE VOTING POWER 5 NUMBER OF 117,000 (excluding 42,500 options shares) SHARES ----------------------------------------------------------- SHARED VOTING POWER BENEFICIALLY 6 0 OWNED BY ----------------------------------------------------------- EACH SOLE DISPOSITIVE POWER 7 REPORTING 117,000 (excluding 42,500 option shares) PERSON ----------------------------------------------------------- SHARED DISPOSITIVE POWER WITH 8 0 - ------------------------------------------------------------------------------ AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 9 159,500 - ------------------------------------------------------------------------------ CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) 10 EXCLUDES CERTAIN SHARES* [_] - ------------------------------------------------------------------------------ PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 11 2.9% - ------------------------------------------------------------------------------ TYPE OF REPORTING PERSON* 12 IN - ------------------------------------------------------------------------------ ITEM 1(A). Name of Issuer: Assisted Living Concepts, Inc. ITEM 1(B). Address of Issuer's Principal Executive offices: 9955 S.E. Washington Suite 201 Portland, Oregon 97216 ITEM 2(A). Name of Person Filing: William McBride III ITEM 2(B). Address of Principal Business Office: c/o Assisted Living Concepts, Inc. 9955 S.E. Washington Suite 201 Portland, Oregon 97216 ITEM 2(C). Citizenship: United States ITEM 2(D). Title of Class of Securities: Common Stock ITEM 2(E). CUSIP Number: The CUSIP number for the Common Stock is 04543L 109. ITEM 3. If this statement is filed pursuant to Rules 13d-1(b), or 13d- 2(b), check whether the person filing is a: Not applicable. Page 3 of 6 Pages ITEM 4. Ownership The following information is as of December 31, 1996: (a) Amount Beneficially Owned: 159,500 Includes 42,500 shares of Common Stock that are subject to options that are immediately exercisable. (b) Percent of Class: 2.9% (Based on the number of shares outstanding as reported in the Issuer's Form 10-Q for the fiscal quarter ended September 30, 1996.) (c) Number of Shares as to which such person has: (i) sole power to vote or to direct the vote: 117,000 (excludes 42,500 shares subject to call options). (ii) shared power to vote or to direct the vote: None. (iii) sole power to dispose or to direct the disposition of: 117,000 (excludes 42,500 shares subject to call options). (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. 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. Page 4 of 6 Pages 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. Page 5 of 6 Pages 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, 1997 /s/ WILLIAM McBRIDE III ----------------------- William McBride III Page 6 of 6 Pages -----END PRIVACY-ENHANCED MESSAGE-----