-----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, G6ZAQ1CMEALItmNuFoCFTCDBCmOrfh/L5TUK3KLNzZtVVXiLAKAJpX0+LbdORvx0 ou61h4cMpYiNb9/C/lDVxw== 0001399010-10-000083.txt : 20101110 0001399010-10-000083.hdr.sgml : 20101110 20101110154514 ACCESSION NUMBER: 0001399010-10-000083 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20101110 DATE AS OF CHANGE: 20101110 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: AMERICA SERVICE GROUP INC /DE CENTRAL INDEX KEY: 0000877476 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090] IRS NUMBER: 510332317 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-42037 FILM NUMBER: 101179889 BUSINESS ADDRESS: STREET 1: 105 WESTPARK DR STREET 2: STE 200 CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 6153761317 MAIL ADDRESS: STREET 1: 105 WESTPARK DR STREET 2: STE 200 CITY: BRENTWOOD STATE: TN ZIP: 37027 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Columbia Pacific Opportunity Fund, L.P. CENTRAL INDEX KEY: 0001399010 IRS NUMBER: 208451143 STATE OF INCORPORATION: WA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 1910 FAIRVIEW AVENUE EAST STREET 2: STE 500 CITY: Seattle STATE: WA ZIP: 98102-3698 BUSINESS PHONE: (206) 453-0291 MAIL ADDRESS: STREET 1: 1910 FAIRVIEW AVENUE EAST STREET 2: STE 500 CITY: Seattle STATE: WA ZIP: 98102-3698 FORMER COMPANY: FORMER CONFORMED NAME: Columbia Pacific Opportunity Fund LP DATE OF NAME CHANGE: 20070509 SC 13G/A 1 asgr13g20101029.txt AMENDMENT NO. 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 3)* American Service Group, Inc. (Name of Issuer) Common Stock, par value $0.01 per share (Title of Class of Securities) 02364L109 (CUSIP Number) October 29, 2010 (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: [X] Rule 13d-1(b) [X] Rule 13d-1(c) [ ] Rule 13d-1(d) * The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). - ------------------------------------------------------------------------------- CUSIP No. 02364L109 Schedule 13 G Page 2 of 11 1 NAMES OF REPORTING PERSONS Columbia Pacific Opportunity Fund, L.P. (1) IRS Identification No. of Above Person (entities only) 20-8451143 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) (a) [ ] (b) [X] 3 SEC USE ONLY 4 CITIZENSHIP OR PLACE OF ORGANIZATION Washington NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH: 5 SOLE VOTING POWER 200 (2) 6 SHARED VOTING POWER 0 7 SOLE DISPOSITIVE POWER 200 (2) 8 SHARED DISPOSITIVE POWER 0 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 200 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) [ ] 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 0.002% (3) 12 TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) PN (1) The filing of this joint Schedule 13G shall not be construed as an admission that any of the Reporting Persons are, for purposes of Section 13(d) or 13(g) of the Act, the beneficial owner of any securities covered by the statement. (2) Columbia Pacific Advisors, LLC has the sole power to vote or direct the vote of, and to dispose or direct the disposition of, the 200 shares of Common Stock to which this Schedule 13G relates. (3) Based on 9,265,915 shares of Common Stock outstanding as of November 1, 2010, as reported on the Company's Form 10-Q for the period ended September 30, 2010, as filed on November 2, 2010. - ------------------------------------------------------------------------------- CUSIP No. 02364L109 Schedule 13 G Page 3 of 11 1 NAMES OF REPORTING PERSONS Columbia Pacific Advisors, LLC (1) IRS Identification No. of Above Person (entities only) 20-8051301 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) (a) [ ] (b) [X] 3 SEC USE ONLY 4 CITIZENSHIP OR PLACE OF ORGANIZATION Washington NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH: 5 SOLE VOTING POWER 200 (2) 6 SHARED VOTING POWER 0 7 SOLE DISPOSITIVE POWER 200 (2) 8 SHARED DISPOSITIVE POWER 0 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 200 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) [ ] 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 0.002% (3) 12 TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) IA (1) The filing of this joint Schedule 13G shall not be construed as an admission that any of the Reporting Persons are, for purposes of Section 13(d) or 13(g) of the Act, the beneficial owner of any securities covered by the statement. (2) Columbia Pacific Advisors, LLC has the sole power to vote or direct the vote of, and to dispose or direct the disposition of, the 200 shares of Common Stock to which this Schedule 13G relates. (3) Based on 9,265,915 shares of Common Stock outstanding as of November 1, 2010, as reported on the Company's Form 10-Q for the period ended September 30, 2010, as filed on November 2, 2010. - ------------------------------------------------------------------------------- CUSIP No. 02364L109 Schedule 13 G Page 4 of 11 1 NAMES OF REPORTING PERSONS Alexander B. Washburn (1) 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) (a) [ ] (b) [X] 3 SEC USE ONLY 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States of America NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH: 5 SOLE VOTING POWER 200 (2) 6 SHARED VOTING POWER 0 7 SOLE DISPOSITIVE POWER 200 (2) 8 SHARED DISPOSITIVE POWER 0 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 200 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) [ ] 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 0.002% (3) 12 TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) IN (1) The filing of this joint Schedule 13G shall not be construed as an admission that any of the Reporting Persons are, for purposes of Section 13(d) or 13(g) of the Act, the beneficial owner of any securities covered by the statement. (2) Columbia Pacific Advisors, LLC has the sole power to vote or direct the vote of, and to dispose or direct the disposition of, the 200 shares of Common Stock to which this Schedule 13G relates. (3) Based on 9,265,915 shares of Common Stock outstanding as of November 1, 2010, as reported on the Company's Form 10-Q for the period ended September 30, 2010, as filed on November 2, 2010. - ------------------------------------------------------------------------------- CUSIP No. 02364L109 Schedule 13 G Page 5 of 11 1 NAMES OF REPORTING PERSONS Daniel R. Baty (1) 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) (a) [ ] (b) [X] 3 SEC USE ONLY 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States of America NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH: 5 SOLE VOTING POWER 200 (2) 6 SHARED VOTING POWER 0 7 SOLE DISPOSITIVE POWER 200 (2) 8 SHARED DISPOSITIVE POWER 0 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 200 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) [ ] 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 0.002% (3) 12 TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) IN (1) The filing of this joint Schedule 13G shall not be construed as an admission that any of the Reporting Persons are, for purposes of Section 13(d) or 13(g) of the Act, the beneficial owner of any securities covered by the statement. (2) Columbia Pacific Advisors, LLC has the sole power to vote or direct the vote of, and to dispose or direct the disposition of, the 200 shares of Common Stock to which this Schedule 13G relates. (3) Based on 9,265,915 shares of Common Stock outstanding as of November 1, 2010, as reported on the Company's Form 10-Q for the period ended September 30, 2010, as filed on November 2, 2010. - ------------------------------------------------------------------------------- CUSIP No. 02364L109 Schedule 13 G Page 6 of 11 1 NAMES OF REPORTING PERSONS Stanley L. Baty (1) 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) (a) [ ] (b) [X] 3 SEC USE ONLY 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States of America NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH: 5 SOLE VOTING POWER 200 (2) 6 SHARED VOTING POWER 0 7 SOLE DISPOSITIVE POWER 200 (2) 8 SHARED DISPOSITIVE POWER 0 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 200 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) [ ] 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 0.002% (3) 12 TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) IN (1) The filing of this joint Schedule 13G shall not be construed as an admission that any of the Reporting Persons are, for purposes of Section 13(d) or 13(g) of the Act, the beneficial owner of any securities covered by the statement. (2) Columbia Pacific Advisors, LLC has the sole power to vote or direct the vote of, and to dispose or direct the disposition of, the 200 shares of Common Stock to which this Schedule 13G relates. (3) Based on 9,265,915 shares of Common Stock outstanding as of November 1, 2010, as reported on the Company's Form 10-Q for the period ended September 30, 2010, as filed on November 2, 2010. - ------------------------------------------------------------------------------- CUSIP No. 02364L109 Schedule 13 G Page 7 of 11 1 NAMES OF REPORTING PERSONS Brandon D. Baty (1) 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) (a) [ ] (b) [X] 3 SEC USE ONLY 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States of America NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH: 5 SOLE VOTING POWER 200 (2) 6 SHARED VOTING POWER 0 7 SOLE DISPOSITIVE POWER 200 (2) 8 SHARED DISPOSITIVE POWER 0 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 200 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) [ ] 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 0.002% (3) 12 TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) IN (1) The filing of this joint Schedule 13G shall not be construed as an admission that any of the Reporting Persons are, for purposes of Section 13(d) or 13(g) of the Act, the beneficial owner of any securities covered by the statement. (2) Columbia Pacific Advisors, LLC has the sole power to vote or direct the vote of, and to dispose or direct the disposition of, the 200 shares of Common Stock to which this Schedule 13G relates. (3) Based on 9,265,915 shares of Common Stock outstanding as of November 1, 2010, as reported on the Company's Form 10-Q for the period ended September 30, 2010, as filed on November 2, 2010. - ------------------------------------------------------------------------------- CUSIP No. 02364L109 Schedule 13 G Page 8 of 11 Item 1. (a) Name of Issuer: American Service Group, Inc. (the "Company") (b) Address of Issuer's Principal Executive Offices: 105 Westpark Drive, Suite 200, Brentwood, TN, 37027 Item 2. (a) Name of Person Filing: This Schedule 13G is being filed by Columbia Pacific Opportunity Fund, L.P., a Washington limited partnership (the "Fund"), Columbia Pacific Advisors LLC, a Washington limited liability company (the "Adviser"), Alexander B. Washburn, Daniel R. Baty, Stanley L. Baty and Brandon D. Baty (each a "Reporting Person" and collectively the "Reporting Persons"). (b) Address of Principal Business Office or, if none, Residence: Same The business address of the Reporting Persons is: 1910 Fairview Avenue East Suite 500, Seattle, WA 98102-3698. (c) Citizenship: The Fund is a Washington limited partnership; the Adviser is a Washington limited liability company; Alexander B. Washburn, Daniel R. Baty, Stanley L. Baty and Brandon D. Baty are U.S. citizens. (d) Title of Class of Securities: Shares of Common Stock, par value $0.01 per share (the "Common Stock") (e) CUSIP Number: 02364L109 Item 3. If this statement is filed pursuant to Sections 240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a: (a) [ ] Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o). (b) [ ] Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c). (c) [ ] Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c). (d) [ ] Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8). (e) [X] An investment adviser in accordance with Section 240.13d-1(b)(1)(ii)(E); (for Columbia Pacific Advisors, LLC only) (f) [ ] An employee benefit plan or endowment fund in accordance with Section 240.13d-1(b)(1)(ii)(F); (g) [X] A parent holding company or control person in accordance with Section 240.13d-1(b)(1)(ii)(G) (for Alexander B. Washburn, Daniel R. Baty, Stanley L. Baty and Brandon D. Baty only). - ------------------------------------------------------------------------------- CUSIP No. 02364L109 Schedule 13 G Page 9 of 11 (h) [ ] A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813); (i) [ ] A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3); (j) [ ] A non-U.S. institution in accordance with Section 240.13d-1(b)(1)(ii)(J). (k) [ ] Group, in accordance with Section 240.13d-1(b) (1)(ii)(K). If filing as a non-U.S. institution in accordance with Section 240.13d-1(b) (1)(ii)(J), please specify the type of institution. Item 4. Ownership. As of the date hereof, the Reporting Persons may be deemed to beneficially own an aggregate of 200 shares of Common Stock, which constitutes 0.002% of the total number of shares of Common Stock outstanding as of November 1, 2010, as reported in the Company's Form 10-Q for the period ended September 30, 2010. The Adviser has the sole power to vote or direct the vote of, and to dispose or direct the disposition of, the 200 shares of Common Stock to which this filing relates. See also Items 5 through 8 of the cover pages to this Schedule 13G with respect to this Item 4. Mr. Washburn, Mr. D. Baty, Mr. S. Baty and Mr. B. Baty serve as the managing members of the Adviser, which is primarily responsible for all investment decisions regarding the Fund's investment portfolio. The shares of Common Stock reported herein are held in the portfolio of the Fund. Each of the Reporting Persons disclaims beneficial ownership over the securities reported herein except to the extent of such Reporting Persons' pecuniary interest therein. Neither the present filing nor anything contained herein shall be construed as an admission that the Reporting Persons constitute a "group" for any purpose and the Reporting Persons expressly disclaim membership in a group. Item 5. Ownership of Five Percent or Less of a Class If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following [X]. Instruction: Dissolution of a group requires a response to this item. Item 6. Ownership of More than Five Percent on Behalf of Another Person. Not applicable Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company Not applicable Item 8. Identification and Classification of Members of the Group Not applicable Item 9. Notice of Dissolution of Group Not applicable - ------------------------------------------------------------------------------- CUSIP No. 02364L109 Schedule 13 G Page 10 of 11 Item 10. Certification By signing below the undersigned certify that, to the best of their knowledge and belief, the securities referred to above were acquired and are held in the ordinary course of business and were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with, or as a participant in, any transaction having that purpose or effect. SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. November 10, 2010 (Date) Columbia Pacific Opportunity Fund, L.P. /s/ Alexander B. Washburn By: Alexander B. Washburn Title: Managing Member of Columbia Pacific Advisors, LLC, its general partner Columbia Pacific Advisors, LLC /s/ Alexander B. Washburn By: Alexander B. Washburn Title: Managing Member /s/ Alexander B. Washburn Alexander B. Washburn /s/ Daniel R. Baty Daniel R. Baty /s/ Stanley L. Baty Stanley L. Baty /s/ Brandon D. Baty Brandon D. Baty - ------------------------------------------------------------------------------- CUSIP No. 02364L109 Schedule 13 G Page 11 of 11 JOINT FILING AGREEMENT We, the signatories of the statement to which this Joint Filing Agreement is attached, hereby agree that such statement is filed, and any amendments thereto filed by any or all of us will be filed on behalf of each of us. November 10, 2010 (Date) Columbia Pacific Opportunity Fund, L.P. /s/ Alexander B. Washburn By: Alexander B. Washburn Title: Managing Member of Columbia Pacific Advisors, LLC, its general partner Columbia Pacific Advisors, LLC /s/ Alexander B. Washburn By: Alexander B. Washburn Title: Managing Member /s/ Alexander B. Washburn Alexander B. Washburn /s/ Daniel R. Baty Daniel R. Baty /s/ Stanley L. Baty Stanley L. Baty /s/ Brandon D. Baty Brandon D. Baty -----END PRIVACY-ENHANCED MESSAGE-----