-----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, AI7PIecsI8eZxXym+vL8zNO1UPR+AfsULDph1lQCYbEsE3lBJKN9enozKkqZgdyv JpRAaGBQI0F4B9ecTZrv4A== 0000937307-98-000001.txt : 19980116 0000937307-98-000001.hdr.sgml : 19980116 ACCESSION NUMBER: 0000937307-98-000001 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19980115 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: SUPERTEL HOSPITALITY INC CENTRAL INDEX KEY: 0000919640 STANDARD INDUSTRIAL CLASSIFICATION: HOTELS & MOTELS [7011] IRS NUMBER: 470774097 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: SEC FILE NUMBER: 005-43315 FILM NUMBER: 98507043 BUSINESS ADDRESS: STREET 1: 309 NORTH 5TH ST STREET 2: P O BOX 1448 CITY: NORFOLK STATE: NE ZIP: 68702-1448 BUSINESS PHONE: 4023712520 MAIL ADDRESS: STREET 1: 309 NORTH 5TH STREET STREET 2: P O BOX 1448 CITY: NORFOLK STATE: NE ZIP: 68702-1448 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: BORGMANN STEVE H CENTRAL INDEX KEY: 0000937307 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 2303 PROSPECT AVENUE CITY: NORFOLK STATE: NE ZIP: 68701 MAIL ADDRESS: STREET 1: 2303 PROSPECT AVENUE CITY: NORFOLK STATE: NE ZIP: 68701 SC 13G/A 1 AMENDED STATEMENT OF BENEFICIAL OWNERSHIP SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G [Amendment No. 1] Under the Securities Exchange Act of 1934 SUPERTEL HOSPITALITY, INC. (Name of Issuer) COMMON STOCK $.01 PAR VALUE (Title of Class of Securities) 868524 10 9 (CUSIP Number) The information required on 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. 1. Name of Reporting Persons/I.R.S. Identification Nos. of Above Persons (Entities Only) STEVE H. BORGMANN, ###-##-#### 2. Check the Appropriate Box if a Member of a Group [ ] (a) [ ] (b) 3. SEC Use Only 4. Citizenship or Place of Organization: United States 5. Sole Voting Power 664,026 Shares Number of Shares 6. Shared Voting Power Beneficially Owned by 82,932 Shares Reporting Person 7. Sole Dispositive Power With 664,026 Shares 8. Shared Dispositive Power 82,932 Shares 9. Aggregate Amount Beneficially Owned by Each Reporting Person: 746,958 Shares 10. Check Box if Aggregate Amount in Row 11 Excludes Certain Shares: [ ] 11. Percent of Class Represented by Amount in Row 11: Approximately 15.4% of voting securities. 12. Type of Reporting Person: IN ITEM 1(a). NAME OF ISSUER: Supertel Hospitality, Inc. ITEM 1(b). ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES: 309 North 5th Street, Norfolk, Nebraska, 68701 ITEM 2(a). NAME OF PERSON FILING: Steve H. Borgmann ITEM 2(b). ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE: 309 North 5th Street, Norfolk, Nebraska, 68701. ITEM 2(c). CITIZENSHIP: United States ITEM 2(d). TITLE OF CLASS OF SECURITIES: Common Stock $.01 Par Value ITEM 2(e). CUSIP NUMBER: 868524 10 9 ITEM 3. This Amendment No. 1 amends a Schedule 13G dated January 12, 1995, within 45 days following the end of the calendar year in which Supertel Hospitality, Inc. became subject to the filing requirements of the Securities Exchange Act of 1934 upon completion of its initial public offering. Borgmann's ownership of Supertel Hospitality, Inc. common stock existed prior to the completion of Supertel's initial public offering. 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: 746,958 (b) Percent of Class: 15.4% (c) Number of shares as to which such person has: (i) Sole Power to vote or to direct the vote: 664,026 (ii) Shared power to vote or to direct the vote: 82,932 (iii) Sole power to dispose or to direct the disposition of: 664,026 (iv) Shared power to vote or to direct the disposition of: 82,932 Mr. Borgmann also holds options to acquire an aggregate of 17,500 shares of Supertel common stock. The shares issuable upon exercise of such options are not included in the foregoing amounts. ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS. Not Applicable ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON. Not Applicable ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED. 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. 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. January 14, 1998 ------------------------------- (Date) /s/ Steve H. Borgmann ------------------------------- Steve H. Borgmann -----END PRIVACY-ENHANCED MESSAGE-----