- Statement of Changes in Beneficial Ownership (4)
December 23 2008 - 5:11PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public
Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Scotia Investments LTD
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2. Issuer Name
and
Ticker or Trading Symbol
ASSISTED LIVING CONCEPTS INC
[
ALC
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director
__
X
__ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Last)
(First)
(Middle)
3 BEDFORD HILLS RD
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3. Date of Earliest Transaction
(MM/DD/YYYY)
12/19/2008
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(Street)
BEDFORD, A5 B4A 1J5
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Class A Common Stock
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12/19/2008
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C
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280575
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A
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(1)
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289242
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D
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Class A Common Stock
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12/19/2008
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C
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64500
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A
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(1)
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64500
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I
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By Annapolis Group Inc.
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Class A Common Stock
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12/19/2008
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C
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187050
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A
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(1)
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187050
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I
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By Avon Valley Greenhouses Limited
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Class A Common Stock
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12/19/2008
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C
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322500
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A
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(1)
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322500
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I
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By Royal Gardens Limited
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Class B Common Stock
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(1)
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12/19/2008
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C
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261000
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(1)
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(1)
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Class A Common Stock
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280575
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(1)
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0
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D
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Class B Common Stock
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(1)
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12/19/2008
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C
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60000
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(1)
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(1)
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Class A Common Stock
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64500
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(1)
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0
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I
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By Annapolis Group Inc.
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Class B Common Stock
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(1)
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12/19/2008
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C
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174000
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(1)
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(1)
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Class A Common Stock
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187050
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(1)
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1000000
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I
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By Avon Valley Greenhouses Limited
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Class B Common Stock
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(1)
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12/19/2008
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C
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300000
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(1)
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(1)
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Class A Common Stock
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322500
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(1)
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0
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I
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By Royal Gardens Limited
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Class B Common Stock
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(1)
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(1)
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(1)
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Class A Common Stock
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769700
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716000
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I
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By CKF Inc.
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Class B Common Stock
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(1)
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(1)
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(1)
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Class A Common Stock
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2090875
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1945000
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I
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By Cobicorp (2005) Ltd.
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Class B Common Stock
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(1)
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(1)
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(1)
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Class A Common Stock
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628875
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585000
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I
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By Envirosystems Inc.
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Class B Common Stock
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(1)
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(1)
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(1)
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Class A Common Stock
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752500
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700000
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I
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By Gordon's Greenhouses Inc.
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Class B Common Stock
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(1)
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(1)
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(1)
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Class A Common Stock
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215000
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200000
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I
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By Minas Basin Investments Limited
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Class B Common Stock
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(1)
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(1)
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(1)
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Class A Common Stock
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1310425
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1219000
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I
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By Minas Basin Pulp & Power Company Limited
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Class B Common Stock
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(1)
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(1)
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(1)
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Class A Common Stock
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473000
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440000
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I
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By Minas Group Limited
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Explanation of Responses:
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(
1)
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Each share of Class B Common Stock is convertible at any time, at the holder's election, into 1.075 shares of Class A Common Stock, and has no expiration date. In addition, any shares of Class B Common Stock transferred to a person other than a permitted holder of Class B Common Stock, as provided in the Issuer's Amended and Restated Articles of Incorporation, will automatically convert into shares of Class A Common Stock on the same basis upon any such transfer.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Scotia Investments LTD
3 BEDFORD HILLS RD
BEDFORD, A5 B4A 1J5
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X
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Signatures
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/s/ Archie MacPherson, Vice President Finance
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12/23/2008
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
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