<PAGE>
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
SCHEDULE 13G
(RULE 13d-102)
INFORMATION STATEMENT PURSUANT TO RULES 13-d AND 13d-2
UNDER THE SECURITIES EXCHANGE ACT OF 1934
(AMENDMENT NO. 1)<F1>
ALTERNATIVE LIVING SERVICES, INC.
- -----------------------------------------------------------------------------
(Name of Issuer)
COMMON STOCK, $.01 PAR VALUE PER SHARE
- -----------------------------------------------------------------------------
(Title of Class of Securities)
02145K-10-7
----------------------------------------------------
(CUSIP Number)
[FN]
<F1> 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.
</FN>
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 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).
Page 1 of 5 pages
<PAGE>
CUSIP No. 02145K-10-7 13G Page 2 of 5 Pages
- -----------------------------------------------------------------------------
(1) Names of Reporting Persons
S.S. or I.R.S. Identification No. of Above Persons
Jerry L. Tubergen
- -----------------------------------------------------------------------------
(2) Check the Appropriate Box if a Member of a Group<F*>
(a) [ ]
(b) [ X ]
- -----------------------------------------------------------------------------
(3) SEC Use Only
- -----------------------------------------------------------------------------
(4) Citizenship or Place of Organization USA
- -----------------------------------------------------------------------------
Number of (5) Sole Voting Power 251,060
Shares ----------------------------------------------------
Beneficially
Owned by (6) Shared Voting Power 520,588
Each ----------------------------------------------------
Reporting
Person (7) Sole Dispositive Power 251,060
With ----------------------------------------------------
(8) Shared Dispositive Power 520,588
- -----------------------------------------------------------------------------
(9) Aggregate Amount Beneficially Owned by Each Reporting Person
771,648
- -----------------------------------------------------------------------------
(10) Check Box if the Aggregate Amount in Row (9) Excludes Certain Shares<F*>
[ ]
- -----------------------------------------------------------------------------
(11) Percent of Class Represented by Amount in Row 9
3.60%
- -----------------------------------------------------------------------------
(12) Type of Reporting Person<F*>
IN
- -----------------------------------------------------------------------------
[FN]
<F*>SEE INSTRUCTIONS BEFORE FILLING OUT!
</FN>
<PAGE>
Securities and Exchange Commission
Schedule 13G
Page 3 of 5 pages
ITEM 1(a). NAME OF ISSUER:
Alternative Living Services, Inc.
ITEM 1(b). ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES:
450 N. Sunnyslope Road, Suite 300
Brookfield, Wisconsin 53005
ITEM 2(a). NAME OF PERSON FILING:
Jerry L. Tubergen
ITEM 2(b). ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE:
126 Ottawa Avenue, Suite 500
Grand Rapids, Michigan 49503
ITEM 2(c). CITIZENSHIP:
United States of America
ITEM 2(d). TITLE OF CLASS OF SECURITIES:
Common Stock, $.01 par value per share
ITEM 2(e). CUSIP NUMBER:
02145K-10-7
ITEM 3. IF THIS STATEMENT IS FILED PURSUANT TO RULE 13d-1(b), OR
13d-2(b), CHECK WHETHER THE PERSON FILING IS A: Not
applicable.
(a) [ ] Broker or dealer registered under Section 15 of the
Act,
(b) [ ] Bank as defined in Section 3(a)(6) of the Act,
(c) [ ] Insurance Company as defined in Section 3(a)(19) of
the Act,
(d) [ ] Investment Company registered under Section 8 of the
Investment Company Act,
(e) [ ] Investment Adviser registered under Section 203 of the
Investment Advisers Act of 1940,
<PAGE>
Securities and Exchange Commission
Schedule 13G
Page 4 of 5 pages
(f) [ ] Employee Benefit Plan, Pension Fund which is subject to
the provisions of the Employee Retirement Income
Security Act of 1974 or Endowment Fund; SEE
13d-1(b)(1)(ii)(F),
(g) [ ] Parent Holding Company, in accordance with Rule
13d-1(b)(ii)(G); SEE Item 7,
(h) [ ] Group, in accordance with Rule 13d-1(b)(1)(ii)(H).
ITEM 4. OWNERSHIP.
(a) Amount Beneficially Owned: 771,648 shares
(b) Percent of Class: 3.60%
(c) Number of shares as to which such person has:
(i) Sole power to vote or to direct the vote 251,060 shares
(ii) Shared power to vote or to direct the vote 520,588 shares
(iii) Sole power to dispose or to direct the
disposition of 251,060 shares
(iv) Shared power to dispose or to direct the
disposition of 520,588 shares
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.
The Reporting Person (i) holds the sole voting and dispositive
power relating to 251,060 shares of Common Stock that he
beneficially owns in his name (which number includes 11,886
shares which he may acquire pursuant to options exercisable in
the next 60 days) and (ii) shares voting and dispositive power
relating to (A) 439,521 shares of Common Stock that he may be
deemed to beneficially own as co-trustee of seven trusts (103,883
shares are beneficially owned for each of four trusts; 11,550
shares are beneficially owned for the fifth trust; 11,672 shares
<PAGE>
Securities and Exchange Commission
Schedule 13G
Page 5 of 5 pages
are beneficially owned for the sixth trust; and 767 shares are
beneficially owned for the seventh trust); (B) 47,667 shares that
he may be deemed to beneficially own as an officer of a
corporation that owns the shares; and (C) 33,400 shares that he
may be deemed to beneficially own as a member of three
foundations that own the shares (15,000 shares are held by each
of two foundations and 3,400 shares are held by the third
foundation). The Reporting Person disclaims beneficial ownership
of the shares of Common Stock held by the corporation and the
foundations.
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
ITEM 10. CERTIFICATION.
Not Applicable.
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.
February 13, 1998
Date
/s/Jerry L. Tubergen
Signature
Jerry L. Tubergen
