-----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, CgKVJrOjznQg5xvc7W3aSQKXikHmDlibngHKsaTFgNgaH2UxiHfTgVQ51nLTqZ1d pfzyxUW5bOe4cROjTR9tIA== 0001209191-05-007330.txt : 20050207 0001209191-05-007330.hdr.sgml : 20050207 20050207170530 ACCESSION NUMBER: 0001209191-05-007330 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050131 FILED AS OF DATE: 20050207 DATE AS OF CHANGE: 20050207 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HOLLIDAY MARK E CENTRAL INDEX KEY: 0001242980 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 033-83938 FILM NUMBER: 05581223 BUSINESS ADDRESS: STREET 1: 1349 EMPIRE CENTRAL STREET 2: STE 900 CITY: DALLAS STATE: TX ZIP: 75247 BUSINESS PHONE: 2144244000 MAIL ADDRESS: STREET 1: 257 SW MARCONI AVENUE CITY: PORTLAND STATE: OR ZIP: 97201 4 1 bos05379_bos7meh.xml MAIN DOCUMENT DESCRIPTION X0202 4 2005-01-31 1 0000929994 ASSISTED LIVING CONCEPTS INC ASLC 0001242980 HOLLIDAY MARK E 257 SW MARCONI AVENUE PORTLAND OR 97201 1 0 0 0 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 Non Qualified Stock Option 10.35 2005-01-31 4 D 0 10000 18.50 D 2014-06-15 Common Stock 10000 0 D The merger agreement between issuer and Extendicare Health Services, Inc. provided for the accelerated vesting of all options as of the effective date of the merger, which was 1/31/05. 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 Mark E. Holliday 2005-02-07 -----END PRIVACY-ENHANCED MESSAGE-----