-----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, GcdA00eep2D2WGYrW0yZqumDKe150DCB91yTDlnh3+cSBzv2xZMsuaRgcW0x0NNv 5lcDehMsqvcyEBPQBnczig== 0001181431-09-033674.txt : 20090702 0001181431-09-033674.hdr.sgml : 20090702 20090702141018 ACCESSION NUMBER: 0001181431-09-033674 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090630 FILED AS OF DATE: 20090702 DATE AS OF CHANGE: 20090702 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DUCHOSSOIS RICHARD L CENTRAL INDEX KEY: 0000923231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33998 FILM NUMBER: 09926377 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CHURCHILL DOWNS INC CENTRAL INDEX KEY: 0000020212 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-RACING, INCLUDING TRACK OPERATION [7948] IRS NUMBER: 610156015 STATE OF INCORPORATION: KY FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 700 CENTRAL AVE CITY: LOUISVILLE STATE: KY ZIP: 40208 BUSINESS PHONE: 5026364400 MAIL ADDRESS: STREET 1: 700 CENTRAL AVENUE STREET 2: 700 CENTRAL AVENUE CITY: LOUIVILLE STATE: KY ZIP: 40208 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: 845 Larch Acquisition Corp LLC CENTRAL INDEX KEY: 0001418194 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33998 FILM NUMBER: 09926376 BUSINESS ADDRESS: STREET 1: 845 LARCH AVENUE CITY: ELMHURST STATE: IL ZIP: 60126 BUSINESS PHONE: (630) 279-3600 MAIL ADDRESS: STREET 1: 845 LARCH AVENUE CITY: ELMHURST STATE: IL ZIP: 60126 4 1 rrd247646.xml FORM 4 X0303 4 2009-06-30 0 0000020212 CHURCHILL DOWNS INC CHDN 0000923231 DUCHOSSOIS RICHARD L 845 LARCH AVENUE ELMHURST IL 60126 1 0 0 0 0001418194 845 Larch Acquisition Corp LLC 845 LARCH AVENUE ELMHURST IL 60126 0 0 0 1 Mem of 13d grp. more than 10% Common Stock 2009-06-30 4 J 0 17646 0 D 137141 I By 845 Larch Acquisition Corp LLC Common Stock 3150000 I By The Duchossois Group, Inc. Common Stock 100000 I by RLD Revocable Trust This form is a joint filing by 845 Larch Acquistion Corp LLC ("845 LARCH") and Richard L. Duchossois. Richard L. Duchossois, by virtue of his relationship with 845 LARCH, may be deemed to beneficially own the shares of common stock of Churchill Downs Incorporated (the "Issuer") that are held by 845 LARCH. Richard L. Duchossois disclaims benefical ownership with respect to the shares of common stock of the Issuer held by 845 LARCH, except with respect to the pecuniary interest in such shares attributable to him by virtue of his equity interest in 845 LARCH. Reflects shares of the Issuer distributed by 845 LARCH to its members. Reflects shares of common stock of the Issuer that are owned directly by The Duchossois Group, Inc. ("TDG"). Richard L. Duchossois, by virtue of his relationship with TDG, may be deemed to beneficially own the shares of the Issuer that TDG may be deemed to beneficially own. 845 LARCH disclaims beneficial ownership with respect to the shares of common stock of the Issuer held by TDG. /s/ Eric A. Reeves, attorney-in-fact for Richard L. Duchossois 2009-07-02 /s/ Colleen M O'connor, Vice President and Treasurer of 845 Larch Acquisition Corp LLC 2009-07-02 -----END PRIVACY-ENHANCED MESSAGE-----