-----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, GlC6NS9M5kj14+JOonRbOcurmmNqeC9fDW/Y9jvJyXeDPlWN7UbqVNn5RvFCWIC2 SyUjs/9Q0coUAJtYNlU9rA== 0000950142-01-500010.txt : 20010425 0000950142-01-500010.hdr.sgml : 20010425 ACCESSION NUMBER: 0000950142-01-500010 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20010424 GROUP MEMBERS: ADAMS JOHN W GROUP MEMBERS: JOHN W. ADAMS GROUP MEMBERS: JWA INVESTMENTS CORP. GROUP MEMBERS: TEMPE WICK INVESTMENTS, L.P. 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/A SEC ACT: SEC FILE NUMBER: 005-43405 FILM NUMBER: 1609731 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/A 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/A 1 sc13ga2-assistedliving.txt AMENDMENT NO. 2 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 2) ASSISTED LIVING CONCEPTS, INC. ------------------------------ (Name of Issuer) COMMON STOCK, PAR VALUE $.01 PER SHARE -------------------------------------- (Title of Class of Securities) 04543L109 (CUSIP Number) APRIL 20, 2001 (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: [_] 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 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). 2 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 735,600 Beneficially (6) Shared Voting Power 0 Owned by Each (7) Sole Dispositive Power 735,600 Reporting Person (8) Shared Dispositive Power 0 - -------------------------------------------------------------------------------- 9. Aggregate Amount Beneficially Owned by Each Reporting Person 735,600 - -------------------------------------------------------------------------------- 10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares ______ - -------------------------------------------------------------------------------- 11. Percent of Class Represented by Amount in Row 9 4.3% - -------------------------------------------------------------------------------- 12. Type of Reporting Person PN - -------------------------------------------------------------------------------- 3 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 735,600 Beneficially (6) Shared Voting Power 0 Owned by Each (7) Sole Dispositive Power 735,600 Reporting Person (8) Shared Dispositive Power 0 - -------------------------------------------------------------------------------- 9. Aggregate Amount Beneficially Owned by Each Reporting Person 735,600 - -------------------------------------------------------------------------------- 10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares ______ - -------------------------------------------------------------------------------- 11. Percent of Class Represented by Amount in Row 9 4.3% - -------------------------------------------------------------------------------- 12. Type of Reporting Person CO - -------------------------------------------------------------------------------- 4 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 735,600 Beneficially (6) Shared Voting Power 0 Owned by Each (7) Sole Dispositive Power 735,600 Reporting Person (8) Shared Dispositive Power 0 - -------------------------------------------------------------------------------- 9. Aggregate Amount Beneficially Owned by Each Reporting Person 735,600 - -------------------------------------------------------------------------------- 10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares ______ - -------------------------------------------------------------------------------- 11. Percent of Class Represented by Amount in Row 9 4.3% - -------------------------------------------------------------------------------- 12. Type of Reporting Person IN - -------------------------------------------------------------------------------- 5 AMENDMENT NO. 2 TO SCHEDULE 13G ------------------------------- This Amendment No. 2 to Schedule 13G is filed by the undersigned to amend and restate in its entirety the Schedule 13G, dated as of May 2, 2000, as amended by Amendment No. 1, dated as of February 13, 2001 (the "Statement") 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) or (c). 6 Item 4. As of April 20, 2001, the percentage of Common Stock beneficially owned by the Reporting Persons was less than five percent (see Item 5 below). 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]. 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. Item 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP See Item 4. 7 Item 9. NOTICE OF DISSOLUTION OF GROUP Not applicable. Item 10. CERTIFICATION Not applicable. [REMAINDER OF PAGE INTENTIONALLY LEFT BLANK] 8 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 April 24, 2001 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-----