-----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, Q2vgGuJyMWZtWNYU9+6PK0TEQZNRKlss25X9Pr40OcYLc3uWvLVMI9V0K3qevk52 OuamJ7iQyIkWRVqb9ofbKA== 0001209191-05-007234.txt : 20050207 0001209191-05-007234.hdr.sgml : 20050207 20050207152252 ACCESSION NUMBER: 0001209191-05-007234 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050131 FILED AS OF DATE: 20050207 DATE AS OF CHANGE: 20050207 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TANNENBAUM LEONARD M CENTRAL INDEX KEY: 0001200461 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 033-83938 FILM NUMBER: 05580289 BUSINESS ADDRESS: BUSINESS PHONE: 9142413804 MAIL ADDRESS: STREET 1: 344 MAIN STREET STE 104 CITY: MT KISCO STATE: NY ZIP: 10549 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ASSISTED LIVING CONCEPTS INC CENTRAL INDEX KEY: 0000929994 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-NURSING & PERSONAL CARE FACILITIES [8050] IRS NUMBER: 931148702 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1349 EMPIRE CENTRAL STREET 2: SUITE 900 CITY: DALLAS STATE: TX ZIP: 75247 BUSINESS PHONE: 2144244000 MAIL ADDRESS: STREET 1: 1349 EMPIRE CENTRAL STREET 2: SUITE 900 CITY: DALLAS STATE: TX ZIP: 75247 4 1 bos05379_bos5lmt.xml MAIN DOCUMENT DESCRIPTION X0202 4 2005-01-31 1 0000929994 ASSISTED LIVING CONCEPTS INC ASLC 0001200461 TANNENBAUM LEONARD M 344 MAIN STREET STE 104 MT KISCO NY 10549 1 0 0 0 Common Stock 2005-01-31 4 D 0 68117 18.50 D 0 D Non Qualified Stock Option 3.13 2005-01-31 4 D 0 2000 18.50 D 2012-03-06 Common Stock 2000 0 D Non Qualified Stock Option 3.35 2005-01-31 4 D 0 500 18.50 D 2012-05-08 Common Stock 500 0 D Non Qualified Stock Option 3.84 2005-01-31 4 D 0 500 18.50 D 2013-05-08 Common Stock 500 0 D Disposed of pursuant to the merger agreement between issuer and Extendicare Health Services, Inc. as of the effective date of the merger. The merger agreement provided for the accelerated vesting of all options as of the effective date of the merger. The option was canceled in the merger in exchange for a cash payment of $18.50 a share over the per share exercise price. /s/ Edward A. Barnes, Attorney-in-fact for Leonard M. Tannenbaum 2005-02-07 -----END PRIVACY-ENHANCED MESSAGE-----