-----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, NLp3Ua0KfAz/RruAW0Gmo2nZzpUvywin9aDtxdrqgNLW6UKKzD9dWUexzetviTop dvaOqoVFD6Fz6VsLQ41H/g== 0000950142-00-000390.txt : 20000503 0000950142-00-000390.hdr.sgml : 20000503 ACCESSION NUMBER: 0000950142-00-000390 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 2 FILED AS OF DATE: 20000502 SUBJECT COMPANY: 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 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-43405 FILM NUMBER: 616705 BUSINESS ADDRESS: STREET 1: 11835 NE GLENN WIDING DRIVE STREET 2: BLDG E CITY: PORTLAND STATE: OR ZIP: 97220-9057 BUSINESS PHONE: 5032526233 MAIL ADDRESS: STREET 1: 11835 NE GLENN WIDING DRIVE STREET 2: BLDG E CITY: PORTLAND STATE: OR ZIP: 97220-9057 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: ADAMS JOHN W CENTRAL INDEX KEY: 0001006658 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: C/O SMITH MANAGEMENT CO STREET 2: 885 THIRD AVENUE CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 2128885500 MAIL ADDRESS: STREET 1: C/O SMITH MANAGEMENT CO STREET 2: 885 THIRD AVENUE CITY: NEW YORK STATE: NY ZIP: 10022 SC 13G 1 SCHEDULE 13G UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 Assisted Living Concepts, Inc. ------------------------------ (Name of Issuer) Common Stock, par value $.01 per share -------------------------------------- (Title of Class of Securities) 04543L109 --------- (CUSIP Number) *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 disclosures provided in a prior cover page. The information required on the reminder 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. 04543L109 Page 2 of 8 pages --------- 13G - -------------------------------------------------------------------------------- 1. Name of Reporting Person Tempe Wick Investments, L.P. S.S. or I.R.S. Identifica- tion No. of Above Person - -------------------------------------------------------------------------------- 2. Check the Appropriate Box (a) [_] if a Member of a Group (b) [X] - -------------------------------------------------------------------------------- 3. S.E.C. Use Only - -------------------------------------------------------------------------------- 4. Citizenship or Place of Organization Delaware - -------------------------------------------------------------------------------- Number of Shares (5) Sole Voting Power 1,200,000 Beneficially (6) Shared Voting Power 0 Owned by Each (7) Sole Dispositive Power 1,200,000 Reporting Person (8) Shared Dispositive Power 0 - -------------------------------------------------------------------------------- 9. Aggregate Amount Beneficially Owned by Each Reporting Person 1,200,000 - -------------------------------------------------------------------------------- 10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares [_] - -------------------------------------------------------------------------------- 11. Percent of Class Represented by Amount in Row 9 7.0% - -------------------------------------------------------------------------------- 12. Type of Reporting Person PN - -------------------------------------------------------------------------------- CUSIP No. 04543L109 Page 3 of 8 pages --------- 13G - -------------------------------------------------------------------------------- 1. Name of Reporting Person JWA Investments Corp. S.S. or I.R.S. Identifica- tion No. of Above Person - -------------------------------------------------------------------------------- 2. Check the Appropriate Box (a) [_] if a Member of a Group (b) [X] - -------------------------------------------------------------------------------- 3. S.E.C. Use Only - -------------------------------------------------------------------------------- 4. Citizenship or Place of Organization Delaware - -------------------------------------------------------------------------------- Number of Shares (5) Sole Voting Power 1,550,000 Beneficially (6) Shared Voting Power 0 Owned by Each (7) Sole Dispositive Power 1,550,000 Reporting Person (8) Shared Dispositive Power 0 - -------------------------------------------------------------------------------- 9. Aggregate Amount Beneficially Owned by Each Reporting Person 1,550,000 - -------------------------------------------------------------------------------- 10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares [_] - -------------------------------------------------------------------------------- 11. Percent of Class Represented by Amount in Row 9 9.1% - -------------------------------------------------------------------------------- 12. Type of Reporting Person CO - -------------------------------------------------------------------------------- CUSIP No. 04543L109 Page 4 of 8 pages --------- 13G - -------------------------------------------------------------------------------- 1. Name of Reporting Person John W. Adams S.S. or I.R.S. Identifica- tion No. of Above Person - -------------------------------------------------------------------------------- 2. Check the Appropriate Box (a) [_] if a Member of a Group (b) [X] - -------------------------------------------------------------------------------- 3. S.E.C. Use Only - -------------------------------------------------------------------------------- 4. Citizenship or Place of Organization United States - -------------------------------------------------------------------------------- Number of Shares (5) Sole Voting Power 1,550,000 Beneficially (6) Shared Voting Power 0 Owned by Each (7) Sole Dispositive Power 1,550,000 Reporting Person (8) Shared Dispositive Power 0 - -------------------------------------------------------------------------------- 9. Aggregate Amount Beneficially Owned by Each Reporting Person 1,550,000 - -------------------------------------------------------------------------------- 10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares [_] - -------------------------------------------------------------------------------- 11. Percent of Class Represented by Amount in Row 9 9.1% - -------------------------------------------------------------------------------- 12. Type of Reporting Person IN - -------------------------------------------------------------------------------- CUSIP No. 04543L109 Page 5 of 8 pages --------- SCHEDULE 13G This Schedule 13G is filed by the undersigned with respect to the shares of common stock, par value $.01 per share (the "Common Stock"), of Assisted Living Concepts, Inc., a Nevada corporation (the "Company"). Item 1. (a) Name of Issuer Assisted Living Concepts, Inc. (b) Address of Issuer's Principal Executive Offices 11835 N.E. Glenn Widing Drive, Building E Portland, OR 97220-9057 Item 2. (a) Names of Persons Filing Tempe Wick Investments, L.P. ("Partnership") JWA Investments Corp. ("General Partner") John W. Adams ("Adams" and, together with Partnership and General Partner, the "Reporting Persons") (b) Address of Principal Business Office 885 Third Avenue 34th Floor New York, NY 10022 (c) Citizenship Partnership -- Delaware General Partner -- Delaware Adams -- United States (d) Title of Class of Securities Common Stock, par value $.01 per share (the "Shares") (e) CUSIP Number 04543L109 Item 3. This statement is not filed pursuant to either Rule 13d-1(b) or 13d-2(b). CUSIP No. 04543L109 Page 6 of 8 pages --------- Item 4. The Partnership beneficially owns an aggregate of 1,200,000 shares of Common Stock which represents approximately 7.0% of the issued and outstanding shares of Common Stock. The Partnership, acting through its general partner, has the sole power to vote or direct the vote of 1,200,000 shares of Common Stock and the sole power to dispose or to direct the disposition of 1,200,000 shares of Common Stock. The General Partner is the general partner of the Partnership and Jockey Hollow Investments L.P., a Delaware limited partnership ("Jockey Hollow"). Jockey Hollow beneficially owns 350,000 shares of Common Stock, which represents approximately 2.0% of the issued and outstanding shares of Common Stock. As the general partner of the Partnership and Jockey Hollow, General Partner beneficially owns an aggregate of 1,550,000 shares of Common Stock, which represents approximately 9.1% of the issued and outstanding shares of Common Stock. As the general partner of the Partnership and Jockey Hollow, General Partner has the sole power to vote or to direct the vote of 1,550,000 shares of Common Stock and the sole power to dispose or to direct the disposition of 1,550,000 shares of Common Stock. Adams is the sole shareholder of General Partner and may be deemed to beneficially own an aggregate of 1,550,000 shares of Common Stock which represents approximately 9.1% of the issued and outstanding shares of Common Stock. Adams may be deemed to have the sole power to vote or direct the vote of 1,550,000 shares of Common Stock and the sole power to dispose or to direct the disposition of 1,500,000 shares of Common Stock. Item 5. Ownership of Five Percent or Less of a Class Not applicable. Item 6. Ownership of More than Five Percent on Behalf of Another Person Not applicable. Item 7. Identification and Classification of Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company Not applicable. CUSIP No. 04543L109 Page 7 of 8 pages --------- Item 8. Identification and Classification of Members of the Group See Item 4. Item 9. Notice of Dissolution of Group Not applicable. Item 10. Certification Not applicable. [REMAINDER OF PAGE INTENTIONALLY LEFT BLANK] CUSIP No. 04543L109 Page 8 of 8 pages --------- SIGNATURES After reasonable inquiry and to the best of our knowledge and belief, we certify that the information set forth in this statement is true, complete and correct. Dated as of May 2, 2000 TEMPE WICK INVESTMENTS, L.P. By: JWA Investments Corp., its general partner By: /s/ John W. Adams ----------------- Name: John W. Adams Title: President JWA INVESTMENTS CORP. By: /s/ John W. Adams ----------------- Name: John W. Adams Title: President /s/ John W. Adams ----------------- John W. Adams EX-1 2 EXHIBIT 1 Exhibit 1 --------- JOINT ACQUISITION STATEMENT PURSUANT TO RULE 13d-1(k)(1) The undersigned acknowledge and agree that the foregoing statement on Schedule 13G is filed on behalf of each of the undersigned and that all subsequent amendments to this statement on Schedule 13G shall be filed on behalf of each of the undersigned without the necessity of filing additional joint acquisition statements. The undersigned acknowledge that each shall be responsible for the timely filing of such amendments, and for the completeness and accuracy of the information concerning him, her or it contained herein, but shall not be responsible for the completeness and accuracy of the information concerning the other entities or persons, except to the extent that he, she or it knows or has reason to believe that such information is accurate. Dated: May 2, 2000 TEMPE WICK INVESTMENTS, L.P. By: JWA Investments Corp., its general partner By: /s/ John W. Adams ----------------- Name: John W. Adams Title: President JWA INVESTMENTS CORP. By: /s/ John W. Adams ----------------- Name: John W. Adams Title: President /s/ John W. Adams ----------------- John W. Adams -----END PRIVACY-ENHANCED MESSAGE-----