-----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, G27VDnPYGVXaGS9R/jLywq4/M1uJKNDgkiNg/pYYF+xwG+YlXPXzuLfpd9J0N0Es hwKVGJ2SZ6v1qIYIXnsVVQ== 0001209191-07-029995.txt : 20070514 0001209191-07-029995.hdr.sgml : 20070514 20070514171640 ACCESSION NUMBER: 0001209191-07-029995 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20070503 FILED AS OF DATE: 20070514 DATE AS OF CHANGE: 20070514 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: 111 WEST MICHIGAN STREET CITY: MILWAUKEE STATE: WI ZIP: 53203 BUSINESS PHONE: (414) 908-8800 MAIL ADDRESS: STREET 1: 111 WEST MICHIGAN STREET CITY: MILWAUKEE STATE: WI ZIP: 53203 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Brotz Jesse CENTRAL INDEX KEY: 0001398943 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13498 FILM NUMBER: 07847508 BUSINESS ADDRESS: BUSINESS PHONE: 414-908-8800 MAIL ADDRESS: STREET 1: 111 W MICHIGAN STREET CITY: MILWAUKEE STATE: WI ZIP: 53203 3 1 doc3.xml FORM 3 SUBMISSION X0202 3 2007-05-03 0 0000929994 ASSISTED LIVING CONCEPTS INC ALC 0001398943 Brotz Jesse 1973 BUNROBIN CRESCENT NORTH VANCOUVER A1 V7H 1N3 BRITISH COLUMBIA, CANADA 1 0 0 0 Class A Common Stock, par value $0.01 per share 5000 D Class B Common Stock, par value $0.01 per share 5000 D /s/ Jesse C. Brotz 2007-05-10 -----END PRIVACY-ENHANCED MESSAGE-----