-----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, GwMhMhO5FWmrYoWvmsVsyAJhm6L75ACfhTpl0a+qczdgqKydQIbTcBx5H3QL/zcL di66Hr1MNzf+ks7WFYOkjQ== 0001209191-05-007291.txt : 20050207 0001209191-05-007291.hdr.sgml : 20050207 20050207162843 ACCESSION NUMBER: 0001209191-05-007291 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: MARTIN LINDA L CENTRAL INDEX KEY: 0001208212 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 033-83938 FILM NUMBER: 05580821 BUSINESS ADDRESS: BUSINESS PHONE: 2144244000 MAIL ADDRESS: STREET 1: 1349 EMPIRE CENTRAL STREET 2: SUITE 900 CITY: DALLAS STATE: TX ZIP: 75247 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_bos2lm.xml MAIN DOCUMENT DESCRIPTION X0202 4 2005-01-31 1 0000929994 ASSISTED LIVING CONCEPTS INC ASLC 0001208212 MARTIN LINDA L 1349 EMPIRE CENTRAL SUITE 900 DALLAS TX 75247 0 1 0 0 SVP and COO Common Stock 2005-01-31 4 D 0 40487 18.50 D 0 D Non Qualified Stock Option 2.94 2005-01-31 4 D 0 7028 18.50 D 2012-08-09 Common Stock 7028 0 D Non Qualified Stock Option 3.84 2005-01-31 4 D 0 17500 18.50 D 2013-05-08 Common Stock 17500 0 D Disposed of pursuant to the merger agreement between issuer and Extendicare Health Services, Inc. as of the effective date of the merger, which was 1/31/05. 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 less the per share exercise price. /s/ Edward A. Barnes, Attorney-in-fact for Linda L. Martin 2005-02-07 -----END PRIVACY-ENHANCED MESSAGE-----