-----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, FCR2JQ7n/Ke3eB8CC/FVFlOKy6Oai7Yl2hEZm+UhPEb3Lv6DI5CxEYDL2APEW/Rw bBYT3aXO6odM+pEn31h6UA== 0000899078-99-000071.txt : 19990218 0000899078-99-000071.hdr.sgml : 19990218 ACCESSION NUMBER: 0000899078-99-000071 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19981231 FILED AS OF DATE: 19990216 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: SUNBURST HOSPITALITY CORP CENTRAL INDEX KEY: 0001018146 STANDARD INDUSTRIAL CLASSIFICATION: HOTELS & MOTELS [7011] IRS NUMBER: 521985619 STATE OF INCORPORATION: DE FISCAL YEAR END: 0531 FILING VALUES: FORM TYPE: 5 SEC ACT: SEC FILE NUMBER: 001-11915 FILM NUMBER: 99544037 BUSINESS ADDRESS: STREET 1: 10770 COLUMBIA PIKE CITY: SILVER SPRING STATE: MD ZIP: 20901 BUSINESS PHONE: 3019795000 MAIL ADDRESS: STREET 1: 10770 COLUMBIA PIKE CITY: SILVER SPRING STATE: MD ZIP: 20901 FORMER COMPANY: FORMER CONFORMED NAME: CHOICE HOTELS INTERNATIONAL INC DATE OF NAME CHANGE: 19970108 FORMER COMPANY: FORMER CONFORMED NAME: CHOICE HOTELS HOLDINGS INC DATE OF NAME CHANGE: 19960705 COMPANY DATA: COMPANY CONFORMED NAME: WARCZAK CHARLES G JR CENTRAL INDEX KEY: 0001055067 STANDARD INDUSTRIAL CLASSIFICATION: [] OFFICER FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: 10770 COLUMBIA PIKE CITY: SILVER SPRING STATE: MD ZIP: 20901 MAIL ADDRESS: STREET 1: 10770 COLUMBIA PIKE CITY: SILVER SPRING STATE: MD ZIP: 20901 5 1 FORM 5 FOR CHARLES G. WARZACK F O R M 5 U.S. SECURITIES AND EXCHANGE COMMISSION OMB APPROVAL Washington, D.C. 20549 OMB Number [ ] Check this box if Expires: no longer subject Estimated ave.burden to Section 16. Form 4 hours per response____ or Form 5 obligations may continue. See instruction 1(b). [ ] Form 3 Holdings Reported [ ] Form 4 Filed pursuant to Section 16(a)of the Securities Exchange Transactions Act of 1934, Section 17(a) of the Public Utility Holding Reported Company Act of 1935 or Section 30(f) of the Investment Company Act 1940 - -------------------------------------------------------------------------------- 1.Name and Address 2.Issuer Name and Ticker 6.Relationship of Reporting of Reporting or Trading Symbol Person to Issuer (check all Person* Applicable) Sunburst Hospitality Corporation (SNB) -------------------- Warzack Charles G. 12/98 Director 10% Owner - ---------------------------- -------------- -------- --- --- (Last) (First) (MI) 3.IRS or Soc. 4.State- X Officer Other Sec.No. of ment --- --- Reporting for (Give title (specify Person Month/ below) below) (Voluntary) Year 10770 Columbia Pike Vice President - Accounting - --------------------------------------- ------------------------- (Street) -------- 5.If 7.Individual or Joint/ Amend- Group Filing (Check Silver Spring, Maryland 20901 ment, Applicable Line) - ---------------------------------------- Date (City) (Street) (Zip) of X Form filed by One Original --- (Month/ Reporting Person Year) Form filed by More --- than One Reporting Person - -------------------------------------------------------------------------------- Table I - Non-Derivative Securities Acquired, Disposed of or Beneficially Owned - -------------------------------------------------------------------------------- 1. Title of Security 2. Transaction 3. Transaction 4. Security Acquired (Inst.3) Date Code (A)or Disposed of (Month/ (Instr.8) (D) Day/Yr) (Inst.3, 4 & 5) --------------------------------- (A) Code V Amount (D) Price - ---------------------- ------------------ ------- ----- -------- ---- -------- Common Stock (1) 6/29/98 A 3,276 A - ---------------------- ------------------ ------- ----- -------- ---- -------- - ---------------------- ------------------ ------- ----- -------- ---- -------- - ---------------------- ------------------ ------- ----- -------- ---- -------- - ---------------------- ------------------ ------- ----- -------- ---- -------- 5. Amount of 6. Ownership Form 7. Nature of Indirect Securities Bene- Direct (D) or Beneficial Owner- ficially Owned Indirect (I) ship (Inst. 4) at End of (Instr. 4) Issuer's Fiscal Year (Inst. 3 & 4) - ----------------------- ------------------------------- ---------------------- 8,050 D - ----------------------- ------------------------------- ---------------------- - ----------------------- ------------------------------- ---------------------- - ----------------------- ------------------------------- ---------------------- - ----------------------- ------------------------------- ---------------------- Reminder: Report on a separate line for each class securities owned directly or indirectly. *If the form is filed by more than one reporting person, see Instruction 4(b)(v). Page 1 FORM 5 (continued) Page 2 - -------------------------------------------------------------------------------- Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible security) - -------------------------------------------------------------------------------- 1. Title of 2. Conversion 3. Transaction 4. Transaction Derivative or Exercise Date (Month Code Security Price of (Day/Year) (Instr. 8) (Instr.3) Derivative Security - ---------------------------- ------------------ ---------------- -------------- Employee Stock Option $6.406 6/29/98 A - ---------------------------- ------------------ ---------------- -------------- (Right to Buy) - ---------------------------- ------------------ ---------------- -------------- - ---------------------------- ------------------ ---------------- -------------- - ---------------------------- ------------------ ---------------- -------------- 5. Number of Derivative 6. Date Exercisable 7. Title & Amount of Securities Acquired & Expiration Date Underlying Securities (A) or Disposed of (D) (Mon./Day/Year) (Inst. 3 & 4) (Instr. 3, 4 & 5) - -------------------------------------------------------------------------------- (A) (D) Date Expiration Title Amount or Exercisable Date number of Shares - ----------- ---------- -------------- ----------- --------- ---------- 17,500 (2) 6/29/08 Common 17,500 Stock - ----------- ---------- -------------- ----------- --------- ---------- - ----------- ---------- -------------- ----------- --------- ---------- - ----------- ---------- -------------- ----------- --------- ---------- 8.Price of Derivative 9.Number of Deri- 10.Ownership Form of 11.Nature of Security (Inst.5) vative Securities Derivative Indirect Beneficially Security Beneficial Owned at end of Direct (D) or Ownership Indirect (I) (Instr.4) (Instr. 4) - --------------------- ------------------- -------------------- --------------- 17,500 D - --------------------- ------------------- -------------------- --------------- - --------------------- ------------------- -------------------- --------------- - --------------------- ------------------- -------------------- --------------- - --------------------- ------------------- -------------------- --------------- Explanation of Responses (1) Restricted stock granted under the Issuer's 1996 Long Term Incentive Plan. (2) The options vest in five equal annual installments beginning one year from the issue date. **Intentional misstatements or /s/ Charles G. Warzack 2/15/99 omissions of facts constitute --------------------------------------- Federal Criminal Violations. See **Signature of Reporting Person Date 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). Potential persons who are to respond to the collections of information contained in this form are not required to respond unless the form displays a currently valid OMD Number. Page: 2 of 2 ---------------------------------------------- Name Company -----END PRIVACY-ENHANCED MESSAGE-----