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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
SCHEDULE 13G
UNDER THE SECURITIES EXCHANGE ACT OF 1934
(AMENDMENT NO. 1)*
ARV Assisted Living, Inc.
- ------------------------------------------------------------------------------
(Name of Issuer)
Common Stock
- ------------------------------------------------------------------------------
(Title of Class of Securities)
00204C10-7
- ------------------------------------------------------------------------------
(CUSIP Number)
Check the following box if a fee is being paid with this statement [ ]. (A fee
is not required only if the filing person: (1) has a previous statement on file
reporting beneficial ownership of more than five percent of the class
securities described in Item 1; and (2) has filed no amendment subsequent
thereto reporting beneficial ownership of five percent or less of such
class.) (See Rule 13d-7).
*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.
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 ("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).
Page 1 of 14 pages
SEC 1745 (2-95)
<PAGE> 2
CUSIP No. 00204C10-7 13G PAGE 2 OF ____ PAGES
1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Gary L. Davidson
- --------------------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
(a) [ ]
(b) [ ]
- --------------------------------------------------------------------------------
3 SEC USE ONLY
- --------------------------------------------------------------------------------
4 CITIZENSHIP OR PLACE OF ORGANIZATION
USA
- --------------------------------------------------------------------------------
NUMBER OF 5 SOLE VOTING POWER
SHARES 979,299
------------------------------------------
BENEFICIALLY 6 SHARED VOTING POWER
OWNED BY 0
------------------------------------------
EACH 7 SOLE DISPOSITIVE POWER
REPORTING 969,826
PERSON ------------------------------------------
8 SHARED DISPOSITIVE POWER
WITH
392,784
- -------------------------------------------------------------------------------
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
1,362,610
- --------------------------------------------------------------------------------
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
N/A [ ]
- --------------------------------------------------------------------------------
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
14.1%
- --------------------------------------------------------------------------------
12 TYPE OF REPORTING PERSON*
IN
- --------------------------------------------------------------------------------
*SEE INSTRUCTION BEFORE FILLING OUT!
Page 2 of 14 pages
<PAGE> 3
CUSIP No. 00204C10-7 13G PAGE 2 OF ____ PAGES
- --------------------------------------------------------------------------------
1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
John A. Booty Karen A. Booty
- --------------------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
(a) [ ]
(b) [ ]
- --------------------------------------------------------------------------------
3 SEC USE ONLY
- --------------------------------------------------------------------------------
4 CITIZENSHIP OR PLACE OF ORGANIZATION
USA
- --------------------------------------------------------------------------------
NUMBER OF 5 SOLE VOTING POWER
John A. Booty Karen A. Booty
SHARES 85,918 42,500
-----------------------------------------
BENEFICIALLY 6 SHARED VOTING POWER
John A. Booty Karen A. Booty
OWNED BY 563,301 443,028
-----------------------------------------
EACH 7 SOLE DISPOSITIVE POWER
John A. Booty Karen A. Booty
REPORTING 76,445 42,500
PERSON -----------------------------------------
8 SHARED DISPOSITIVE POWER
WITH John A. Booty Karen A. Booty
956,085 443,028
- --------------------------------------------------------------------------------
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
John A. Booty Karen A. Booty
1,032,530 485,528
- --------------------------------------------------------------------------------
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
N/A [ ]
- --------------------------------------------------------------------------------
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
John A. Booty Karen A. Booty
10.7% 5.0%
- --------------------------------------------------------------------------------
12 TYPE OF REPORTING PERSON*
IN
- --------------------------------------------------------------------------------
*SEE INSTRUCTION BEFORE FILLING OUT!
Page 2 of 14 pages
<PAGE> 4
CUSIP No. 00204C10-7 13G PAGE 2 OF ____ PAGES
- --------------------------------------------------------------------------------
1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
David P. Collins Victoria F. Collins
- --------------------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
(a) [ ]
(b) [ ]
- --------------------------------------------------------------------------------
3 SEC USE ONLY
- --------------------------------------------------------------------------------
4 CITIZENSHIP OR PLACE OF ORGANIZATION
USA
- --------------------------------------------------------------------------------
NUMBER OF 5 SOLE VOTING POWER
David P. Collins Victoria F. Collins
SHARES 40,382 15,267
------------------------------------------
BENEFICIALLY 6 SHARED VOTING POWER
David P. Collins Victoria F. Collins
OWNED BY 507,269 507,269
------------------------------------------
EACH 7 SOLE DISPOSITIVE POWER
David P. Collins Victoria F. Collins
REPORTING 31,824 15,267
PERSON ------------------------------------------
8 SHARED DISPOSITIVE POWER
WITH David P. Collins Victoria F. Collins
900,968 507,269
- --------------------------------------------------------------------------------
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
David P. Collins Victoria F. Collins
932,792 522,536
- --------------------------------------------------------------------------------
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
N/A [ ]
- --------------------------------------------------------------------------------
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
David P. Collins Victoria F. Collins
9.7% 5.4%
- --------------------------------------------------------------------------------
12 TYPE OF REPORTING PERSON*
IN
- --------------------------------------------------------------------------------
*SEE INSTRUCTION BEFORE FILLING OUT!
Page 2 of 14 pages
<PAGE> 5
CUSIP No. 00204C10-7 13G PAGE 2 OF ____ PAGES
1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
ARV Housing Group, Inc. Employee Stock Ownership Plan
- --------------------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
(a) [ ]
(b) [ ]
- --------------------------------------------------------------------------------
3 SEC USE ONLY
- --------------------------------------------------------------------------------
4 CITIZENSHIP OR PLACE OF ORGANIZATION
California
- --------------------------------------------------------------------------------
NUMBER OF 5 SOLE VOTING POWER
SHARES 0
------------------------------------------
BENEFICIALLY 6 SHARED VOTING POWER
OWNED BY 402,257
------------------------------------------
EACH 7 SOLE DISPOSITIVE POWER
REPORTING 0
PERSON ------------------------------------------
8 SHARED DISPOSITIVE POWER
WITH
402,257
- --------------------------------------------------------------------------------
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
402,257
- --------------------------------------------------------------------------------
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
N/A [ ]
- --------------------------------------------------------------------------------
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
4.2%
- --------------------------------------------------------------------------------
12 TYPE OF REPORTING PERSON*
EP
- --------------------------------------------------------------------------------
*SEE INSTRUCTION BEFORE FILLING OUT!
Page 2 of 14 pages
<PAGE> 6
ITEM 1.
(a) Name of Issuer
ARV Assisted Living, Inc.
(b) Address of Issuer's Principal Executive Offices
245 Fisher Ave., D-1
Costa Mesa, CA 92626
ITEM 2.1
(a) Name of Person Filing
Gary L. Davidson, as: Managing General Partner of the Davidson
Family Partnership; Trustee of the Gary L. Davidson Funded
Revocable Living Trust; and Trustee of the ARV Housing Group, Inc.
Employee Stock Ownership Plan ("ESOP")
(b) Address of Principal Business Office or, if none, Residence
245 Fisher Ave., D-1
Costa Mesa, CA 92626
(c) Citizenship
USA
(d) Title of Class of Securities
Common Stock
(e) CUSIP Number
00204C10-7
ITEM 2.2
(a) Name of Person Filing
John A. Booty, as: an individual; General Partner of the
Booty-Jones Partnership, a General Partnership; Trustee of the John
A. Booty Trust; Trustee of John A. Booty Charitable Remainder
Unitrust; and Trustee of the ESOP
Page 3 of 14 pages
<PAGE> 7
(b) Address of Principal Business Office or, if none, Residence
245 Fisher Ave., D-1
Costa Mesa, CA 92626
(c) Citizenship
USA
(d) Title of Class of Securities
Common Stock
(e) CUSIP Number
00204C10-7
ITEM 2.3
(a) Name of Person Filing
(1) David P. Collins, as: General Partner of the D & V Collins
Family Limited Partnership; Trustee of the David P. Collins
Annuity Trust; Trustee of the Collins Family Community
Property Trust and Trustee of the ESOP
(2) Victoria F. Collins, as: General Partner of the D & V Collins
Family Limited Partnership; Trustee of the Collins Family
Community Property Trust; Trustee of the Victoria F. Collins
Family Annuity Trust; and Trustee of the Victoria C. Felton
Trust.
(b) Address of Principal Business Office or, if none, Residence
245 Fisher Ave., D-1
Costa Mesa, CA 92626
(c) Citizenship
USA
(d) Title of Class of Securities
Common Stock
(e) CUSIP Number
00204C10-7
Page 4 of 14 pages
<PAGE> 8
ITEM 2.4
(a) Name of Person Filing
ARV Housing Group, Inc. Employee Stock Ownership Plan
(b) Address of Principal Business Office or, if none, Residence
245 Fisher Ave., D-1
Costa Mesa, CA 92626
(c) Citizenship
California
(d) Title of Class of Securities
Common Stock
(e) CUSIP Number
00204C10-7
Page 5 of 14 pages
<PAGE> 9
ITEM 3. IF THIS STATEMENT IS FILED PURSUANT TO RULE 13D-1(B), OR 13D-2(B),
CHECK WHETHER THE PERSON FILING IS A:
Gary L. Davidson, John A. Booty, Karen A. Booty, David P. Collins,
Victoria F. Collins
(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
(f) [ ] Employee Benefit Plan, Pension Fund which is subject to
provisions of the Employee Retirement Income Security Act or
Endowment Fund; see Section 240.13d-1(b)(1)(ii)(F)
(g) [ ] Parent Holding Company, in accordance with Section
240.13d-1(b)(ii)(G) (Note: See Item 7)
(h) [ ] Group, in accordance with Section 240.13d-1(b)(1)(ii)(H)
ARV Housing Group, Inc. Employee Stock Ownership Plan
(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
(f) [X] Employee Benefit Plan, Pension Fund which is subject to
provisions of the Employee Retirement Income Security Act or
Endowment Fund; see Section 240.13d-1(b)(1)(ii)(F)
(g) [ ] Parent Holding Company, in accordance with Section
240.13d-1(b)(ii)(G) (Note: See Item 7)
(h) [ ] Group, in accordance with Section 240.13d-1(b)(1)(ii)(H)
Page 6 of 14 pages
<PAGE> 10
ITEM 4. OWNERSHIP
If the percent of the class owned, as of December 31 of the year covered
by the statement, or as of the last day of any month described in Rule
13d-1(b)(2), if applicable, exceeds five percent, provide the following
information as of that date and identify those shares which there is a right to
acquire.
(a) Amount Beneficially Owned
Gary L. Davidson: 1,362,610 Shares
John A. Booty: 1,032,530 Shares
Karen A. Booty: 485,528 Shares
David P. Collins: 932,792 Shares
Victoria F. Collins: 522,536 Shares
ESOP: 402,257 Shares
(b) Percent of Class
Gary L. Davidson: 14.1% Shares
John A. Booty: 10.7% Shares
Karen A. Booty: 5.0% Shares
David P. Collins: 9.7% Shares
Victoria F. Collins: 5.4% Shares
ESOP: 4.2% Shares
(c) Number of shares as to which such person has:
(i) sole power to vote or to direct the vote
Gary L. Davidson: 979,299 Shares
John A. Booty: 85,918 Shares
Karen A. Booty: 42,500 Shares
David P. Collins: 40,382 Shares
Victoria F. Collins: 15,267 Shares
ESOP: 0 Shares
Page 7 of 14 pages
<PAGE> 11
(ii) shared power to vote or to direct the vote
Gary L. Davidson: 0 Shares
John A. Booty: 563,301 Shares
Karen A. Booty: 443,028 Shares
David P. Collins: 507,269 Shares
Victoria F. Collins: 507,269 Shares
ESOP: 402,257 Shares
(iii) sole power to dispose or to direct the disposition of
Gary L. Davidson: 969,826 Shares
John A. Booty: 76,445 Shares
Karen A. Booty: 42,500 Shares
David P. Collins: 31,824 Shares
Victoria F. Collins: 15,267 Shares
ESOP: 0 Shares
(iv) shared power to dispose or to direct the disposition of
Gary L. Davidson: 392,784 Shares
John A. Booty: 956,085 Shares
Karen A. Booty: 443,028 Shares
David P. Collins: 900,968 Shares
Victoria F. Collins: 507,269 Shares
ESOP: 402,257 Shares
Instruction: For computations regarding securities which represent a right to
acquire an underlying security see Rule 13d-3(d)(1)
Page 8 of 14 pages
<PAGE> 12
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 [ ].
Gary L. Davidson: [ ]
John A. Booty: [ ]
Karen A. Booty: [ ]
David P. Collins: [ ]
Victoria F. Collins: [ ]
ESOP: [X]
Instruction: Dissolution of a group requires a response to this item.
ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON
If any other person is known to have the right to receive or the power to
direct the receipt of dividends from, or the proceeds from the sale of, such
securities, a statement to that effect should be included in response to this
item and, if such interest relates to more than five percent of the class, such
person should be identified. A listing of the shareholders of an investment
company registered under the Investment Company Act of 1940 or the
beneficiaries of employee benefit plan, pension fund or endowment fund is not
required.
Gary L. Davidson, John A. Booty, David P. Collins, ESOP
Employee beneficiaries of the ESOP have the right to receive or direct
the receipt of dividends from, or proceeds from the sale of 402,257
shares (4.2% of the outstanding shares) attributed herein to each of Gary
L. Davidson, John A. Booty, David P. Collins and the ESOP.
Karen A. Booty, Victoria Collins
Not applicable.
Page 9 of 14 pages
<PAGE> 13
ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED
THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY
If a parent holding company has filed this schedule, pursuant to Rule
13d-1(b)(ii)(G), so indicate under Item 3(g) and attach an exhibit stating the
identity and the Item 3 classification of the relevant subsidiary. If a parent
holding company has filed this schedule pursuant to Rule 13d-1(c), attach an
exhibit stating the identification of the relevant subsidiary.
Not applicable
ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP
If a group has filed this schedule pursuant to Rule 13d-1(b)(ii)(H), so
indicate under Item 3(h) and attach an exhibit stating the identity and Item 3
classification of each member of the group. If a group has filed this schedule
pursuant to Rule 13d-1(c), attach an exhibit stating the identity of each
member of the group.
Not applicable
ITEM 9. NOTICE OF DISSOLUTION OF GROUP
Notice of dissolution of a group may be furnished as an exhibit stating
the date of the dissolution and that all further filings with respect to
transactions in the security reported on will be filed, if required, by members
of the group, in their individual capacity. See Item 5.
Not applicable
Page 10 of 14 pages
<PAGE> 14
ITEM 10. CERTIFICATION
The following certification shall be included if the statement is filed
pursuant to Rule 13d-1(b):
By signing below I certify that, to the best of my knowledge and belief,
the securities referred to above were acquired in the ordinary course of
business and were not acquired for the purpose of and do not have the effect of
changing or influencing the control of the issuer of such securities and were
not acquired in connection with or as a participant in any transaction having
such purposes or effect.
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, 1997
----------------------------------------
Date
By: /s/ GARY L. DAVIDSON
-----------------------------------
Gary L. Davidson, in the
capacities set forth in Item 2.1(a)
By: /s/ JOHN A. BOOTY
-----------------------------------
John A. Booty, in the capacities
set forth in item 2.2(a)(1)
By: /s/ KAREN A. BOOTY
-----------------------------------
Karen A. Booty, in the capacities
set forth in item 2.2(a)(2)
By: /s/ DAVID P. COLLINS
-----------------------------------
David P. Collins, in the capacities
set forth in item 2.3(a)(1)
By: /s/ VICTORIA F. COLLINS
-----------------------------------
Victoria F. Collins, in the
capacities set forth in
item 2.3(a)(2)
Page 11 of 14 pages
<PAGE> 15
ARV HOUSING GROUP, INC.
EMPLOYEE STOCK OWNERSHIP PLAN
By: /s/ JOHN A. BOOTY
---------------------------------
John A. Booty, Trustee
By: /s/ GARY L. DAVIDSON
---------------------------------
Gary L. Davidson, Trustee
By: /s/ DAVID P. COLLINS
---------------------------------
David P. Collins, Trustee
Page 12 of 14 pages
<PAGE> 16
JOINT FILING AGREEMENT
SCHEDULE I
This will confirm the agreement by and among all the undersigned that
the Schedule 13G filed on or about this date and any amendments thereto with
respect to the beneficial ownership by the undersigned of shares of the Common
Stock of ARV Assisted Living, Inc. is being filed on behalf of each of the
undersigned. This Agreement may be executed in two or more counterparts, each
of which shall constitute one and the same instrument.
Dated: February 13, 1997
By: /s/ GARY L. DAVIDSON
-----------------------------------
Gary L. Davidson, in the
capacities set forth in Item 2.1(a)
By: /s/ JOHN A. BOOTY
-----------------------------------
John A. Booty, in the capacities
set forth in item 2.2(a)(1)
By: /s/ KAREN A. BOOTY
-----------------------------------
Karen A. Booty, in the capacities
set forth in item 2.2(a)(2)
By: /s/ DAVID P. COLLINS
-----------------------------------
David P. Collins, in the capacities
set forth in item 2.3(a)(1)
By: /s/ VICTORIA F. COLLINS
-----------------------------------
Victoria F. Collins, in the
capacities set forth in
item 2.3(a)(2)
Page 13 of 14 pages
<PAGE> 17
ARV HOUSING GROUP, INC.
EMPLOYEE STOCK OWNERSHIP PLAN
By: /s/ JOHN A. BOOTY
---------------------------------
John A. Booty, Trustee
By: /s/ GARY L. DAVIDSON
---------------------------------
Gary L. Davidson, Trustee
By: /s/ DAVID P. COLLINS
---------------------------------
David P. Collins, Trustee
Page 14 of 14 pages
