-----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, QXfmqjppZgO/XQH9hx8ndZ6bzUVY6z3QXuktf2m82wgkbpOuPpzox8qJwtP+bOMz dNeHjWFWEhUBYPx2MXWwLQ== 0001209191-05-009184.txt : 20050214 0001209191-05-009184.hdr.sgml : 20050214 20050214151232 ACCESSION NUMBER: 0001209191-05-009184 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050131 FILED AS OF DATE: 20050214 DATE AS OF CHANGE: 20050214 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: SCHEIWE STEVEN D CENTRAL INDEX KEY: 0001190322 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 033-83938 FILM NUMBER: 05608828 BUSINESS ADDRESS: STREET 1: 1257 ACTIVITY DRIVE STREET 2: SUITE B CITY: VISTA STATE: CA ZIP: 92083 BUSINESS PHONE: 7604368314 MAIL ADDRESS: STREET 1: 4407 MANCHESTER AVE STREET 2: SUITE 204 CITY: ENCINITAS STATE: CA ZIP: 92024 4 1 bos05379_bos10ss.xml MAIN DOCUMENT DESCRIPTION X0202 4 2005-01-31 1 0000929994 ASSISTED LIVING CONCEPTS INC ASLC 0001190322 SCHEIWE STEVEN D 4407 MANCHESTER AVE SUITE 204 ENCINITAS CA 92024 1 0 0 0 Non Qualified Stock Option 10.35 2005-01-31 4 D 0 2000 18.50 D 2014-06-15 Common Stock 2000 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 Steven D. Scheiwe 2005-02-07 -----END PRIVACY-ENHANCED MESSAGE-----