0001209191-12-017329.txt : 20120309 0001209191-12-017329.hdr.sgml : 20120309 20120309185228 ACCESSION NUMBER: 0001209191-12-017329 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120307 FILED AS OF DATE: 20120309 DATE AS OF CHANGE: 20120309 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: 12682102 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 X0304 4 2012-03-07 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) 18.69 2012-03-07 4 A 0 8800 0.00 A 2012-03-02 2016-03-02 Class A Common Stock 2200 11000 D Tandem non-qualified stock options and stock appreciation rights for shares of the Issuer's Class A Common Stock ("Options/SARs") approved on March 2, 2011. The exercise price is the closing price of the Issuer's Class A Common Stock on the New York Stock Exchange on March 8, 2011, the second business day following the Issuer's public release of quarterly financial results. Reflects Options/SARs that satisfied the performance-based vesting conditions on March 7, 2012 upon achievement of certain performance criteria relating to 2011 performance. The Options/SARs become exercisable in three equal annual installments beginning on March 2, 2012. /s/ Walter Levonowich 2012-03-09