-----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, Q6GS7PsPWY9ROSU8kqy3ssiHEZYPwMRUDeU348vgp1uqtIC4ANF3owgs5m1CkWY0 SjrCtcSEgeHGFdyYtFPcgQ== 0001209191-10-011688.txt : 20100224 0001209191-10-011688.hdr.sgml : 20100224 20100224120619 ACCESSION NUMBER: 0001209191-10-011688 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100222 FILED AS OF DATE: 20100224 DATE AS OF CHANGE: 20100224 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Levonowich Walter Alan CENTRAL INDEX KEY: 0001378865 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13498 FILM NUMBER: 10628856 MAIL ADDRESS: STREET 1: 111 WEST MICHIGAN STREET STREET 2: 9TH FLOOR 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 2010-02-22 0 0000929994 ASSISTED LIVING CONCEPTS INC ALC 0001378865 Levonowich Walter Alan 15725 POMONA ROAD BROOKFIELD WI 53005 0 1 0 0 VP & Controller Tandem Stock Option/SARs (right to buy) 15.35 2010-02-22 4 A 0 3000 0.00 A 2010-02-22 2014-02-22 Class A Common Stock 3000 4000 D Tandem non-qualified stock options and stock appreciation rights for shares of the Issuer's Class A Common Stock ("Options/SAR's") granted on February 22, 2009. The exercise price is the mean of the high and low prices of the Issuer's Class A Common Stock on the New York Stock Exchange on February 26, 2009, the second business day following the Issuer's public release of quarterly financial results. Share amounts and exercise price have been adjusted to reflect the March 16, 2009 one-for-five reverse stock split. Following the reverse stock split, Mr. Levonowich also had direct beneficial ownership of 400 shares of the Issuer's Class A Common Stock. Reflects Options/SARs that satisfied the performance-based vesting conditions on February 22, 2010 upon achievement of certain performance criteria relating to 2009 performance. The Options/SARs become exercisable in three equal annual installments beginning on February 22, 2010. /s/ Walter Levonowich 2010-02-24 -----END PRIVACY-ENHANCED MESSAGE-----