-----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, W0zQBeGGmEp34ds7Q9MVYdGQE3fO8178Jm/JCMRBEpi+5KPlJ4iq4bMFgEGZEGKq qDPQXFpFuid87zJvQvECeA== 0001209191-09-024791.txt : 20090506 0001209191-09-024791.hdr.sgml : 20090506 20090506171254 ACCESSION NUMBER: 0001209191-09-024791 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090504 FILED AS OF DATE: 20090506 DATE AS OF CHANGE: 20090506 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Roadman Chip CENTRAL INDEX KEY: 0001379267 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13498 FILM NUMBER: 09802415 MAIL ADDRESS: STREET 1: 111 W MICHIGAN ST CITY: MILWAUKEE STATE: WI ZIP: 53203 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: W140 N8981 LILLY ROAD CITY: MENOMONEE FALLS STATE: WI ZIP: 53051 BUSINESS PHONE: 262-257-8888 MAIL ADDRESS: STREET 1: W140 N8981 LILLY ROAD CITY: MENOMONEE FALLS STATE: WI ZIP: 53051 4 1 doc4.xml FORM 4 SUBMISSION X0303 4 2009-05-04 0 0000929994 ASSISTED LIVING CONCEPTS INC ALC 0001379267 Roadman Chip 7 GRASSMARKET SAN ANTONIO TX 78259 1 0 0 0 Tandem Stock Option/SARs (right to buy) 32.10 2009-05-05 2013-05-05 Class A Common Stock 4000 4000 D Tandem Stock Option/SARs (right to buy) 16.54 2009-05-04 4 A 0 4000 0.00 A 2010-04-30 2014-04-30 Class A Common Stock 4000 4000 D Awards of tandem non-qualified stock options and stock appreciation rights for shares of the Issuer's Class A Common Stock ("Options/SAR's") approved on May 5, 2008. The exercise price is the closing price of the Issuer's Class A Common Stock on the New York Stock Exchange on May 7, 2008, the second business day following the Issuer's public release of quarterly financial results. These option/SARs were previously reported as covering 20,000 shares at an exercise price of $6.42 per share, but were adjusted to reflect the one-for-five reverse stock split that occurred on March 16, 2009. The Options/SARs vest in three equal annual installments beginning on May 5, 2009. Award of Option/SARs approved on April 30, 2009. The exercise price is the average of the high and low trading prices of the Issuer's Class A Common Stock on the New York Stock Exchange on May 4, 2009, the second business day following the Issuer's public release of quarterly financial results. The Options/SARs vest in three equal annual installments beginning on April 30, 2010. /s/ Chip Roadman 2009-05-06 -----END PRIVACY-ENHANCED MESSAGE-----