-----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, UngXMSeqchyRN/JHvsGpJVTUasAm/2uv2ovDIr/Yhxas6kaOxHQlwifzu2pvko83 A0Gh/xMkZkN+qFJw+juz7w== 0001209191-08-028888.txt : 20080509 0001209191-08-028888.hdr.sgml : 20080509 20080509160845 ACCESSION NUMBER: 0001209191-08-028888 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20080507 FILED AS OF DATE: 20080509 DATE AS OF CHANGE: 20080509 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Brotz Jesse CENTRAL INDEX KEY: 0001398943 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13498 FILM NUMBER: 08818540 BUSINESS ADDRESS: BUSINESS PHONE: 414-908-8800 MAIL ADDRESS: STREET 1: 111 W MICHIGAN STREET 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: 111 WEST MICHIGAN STREET CITY: MILWAUKEE STATE: WI ZIP: 53203 BUSINESS PHONE: (414) 908-8800 MAIL ADDRESS: STREET 1: 111 WEST MICHIGAN STREET CITY: MILWAUKEE STATE: WI ZIP: 53203 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2008-05-07 0 0000929994 ASSISTED LIVING CONCEPTS INC ALC 0001398943 Brotz Jesse 1973 BUNROBIN CRESCENT NORTH VANCOUVER A1 V7H 1N3 BRITISH COLUMBIA, CANADA 1 0 0 0 Tandem Stock Option/SARs (right to buy) 6.42 2008-05-07 4 A 0 20000 0.00 A 2009-05-05 2013-05-05 Class A Common Stock 20000 20000 D Awards of tandem non-qualified stock options and stock appreciation rights for shares of the Issuer's Class A Common Stock ("Options/SAR's") granted on May 5, 2008. The exercise price is the closing price of the Issuer's Class A Common Stock on the New York Stock Exchange on May 7, 2008, the second business day following the Issuer's public release of quarterly financial results. The Options/SARs vest in three equal annual installments beginning on May 5, 2009. /s/ Jesse Brotz 2008-05-09 -----END PRIVACY-ENHANCED MESSAGE-----