-----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, EkNmeWnmRUlsmzfCGV5DKKwsP2DDdwN5/j93L6qmn4/fGTzQsjxCzvODvW5RbUqB uF04G3iYtUIRe5qAJnhs5w== 0001181431-05-008814.txt : 20050210 0001181431-05-008814.hdr.sgml : 20050210 20050210215127 ACCESSION NUMBER: 0001181431-05-008814 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041231 FILED AS OF DATE: 20050210 DATE AS OF CHANGE: 20050210 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CHOICE HOTELS INTERNATIONAL INC /DE CENTRAL INDEX KEY: 0001046311 STANDARD INDUSTRIAL CLASSIFICATION: HOTELS & MOTELS [7011] IRS NUMBER: 521209792 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 10750 COLUMBIA PIKE CITY: SILVER SPRING STATE: MD ZIP: 20901 BUSINESS PHONE: 3015925181 MAIL ADDRESS: STREET 1: 10750 COLUMBIA PIKE CITY: SILVER SPRING STATE: MD ZIP: 20901 FORMER COMPANY: FORMER CONFORMED NAME: CHOICE HOTELS FRANCHISING INC DATE OF NAME CHANGE: 19971118 FORMER COMPANY: FORMER CONFORMED NAME: CHOICE HOTELS INTERNATIONAL INC/ DATE OF NAME CHANGE: 19971022 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BAINUM STEWART JR CENTRAL INDEX KEY: 0001034261 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13393 FILM NUMBER: 05594956 BUSINESS ADDRESS: BUSINESS PHONE: 3015921300 MAIL ADDRESS: STREET 1: 10770 COLUMBIA PIKE STREET 2: SUITE 100 CITY: SILVER SPRING STATE: MD ZIP: 20901 5 1 rrd65806.xml X0202 5 2004-12-31 0 0 0 0001046311 CHOICE HOTELS INTERNATIONAL INC /DE CHH 0001034261 BAINUM STEWART JR 10770 COLUMBIA PIKE SUITE 100 SILVER SPRING MD 20901 1 1 1 0 Chairman Common Stock 63018 I See Footnote Common Stock 58023 I See Footnote Common Stock 3625 I See Footnote Common Stock 723078 I See Footnote Common Stock 6516 I See Footnote Common Stock 128592 I See Footnote Common Stock 2004-01-27 2004-01-27 5 J 0 22240 0 A 1419581 I See Footnote Common Stock 2004-01-27 2004-01-27 5 J 0 22240 0 D 82067 I See Footnote Common Stock 2004-10-08 2004-10-08 5 J 0 26294 0 A 1445875 I See Footnote Common Stock 2004-10-08 2004-10-08 5 J 0 26294 0 D 55773 I See Footnote Common Stock 2004-12-31 2004-12-31 5 J 0 613 0 D 0 I See Footnote Common Stock 2004-12-31 2004-12-31 5 J 0 1103 0 D 0 I See Footnote Common Stock 2004-12-31 2004-12-31 5 J 0 130 0 A 3492 I See Footnote Common Stock 2004-12-31 2004-12-31 5 J 0 43 0 A 43 I See Footnote Non-Qualified Stock Options Common 183975 D Incentive Stock Options Common 19325 D Shares owned by Stewart Bainum Jr. Declaration of Trust ("Stewart Bainum Jr. Trust") in which Mr. Bainum, Jr. is the sole trustee. The proportionate interest of the Stewart Bainum, Jr. Trust in shares (600,000) owned by Mid Pines Associates, L.P.("Mid Pines") The proportionate interest of the Stewart Bainum, Jr. Grantor Retained Annuity Trust dated September 10, 1996 ("GRAT"), the sole trustee of which is Mr. Bainum Jr., in shares (600,000) owned by Mid Pines. The proportionate interest of various trusts, the beneficiaries of which are Mr. Bainum, Jr.'s two minor children in shares (600,000) owned by Mid Pines. The proportionate interest of the Stewart Bainum, Jr. Trust in shares (3,567,869) owned by Realty Investment Company, Inc. a real estate investment and management company in which Mr. Bainum, Jr. is a non-controlling shareholder. Shares in Mr. Bainum, Jr's account pursuant to the terms of the Choice Hotels International, Inc. Non-Qualified Retirement Savings and Investment Plan. The proportionate interest of a Trust in shares (600,000) owned by Mid Pines Associates, L.P. for the benefit of Mr. Bainum, Jr's great-nephew. Mr. Bainum, Jr is the sole trustee and his great-nephew is the beneficiary. Beneficial ownership is disclaimed. Shares owned by a trust for the benefit of Mr. Bainum's great-nephew. Mr. Bainum, Jr. is the sole trustee and his great-nephew is the beneficiary. Beneficial ownership is disclaimed. Shares owned by various trusts, the beneficiaries of which are Mr. Bainum, Jr.'s two minor children. The proportionate interest of Mr. Bainum, Jr's two minor children in shares (3,567,869) owned by Realty Investment Company, Inc., a real estate investment and management company in which Mr. Bainum, Jr. is a non-controlling shareholder. Also includes 125,050 shares indirectly held through Realty by certain trusts for the benefit of Mr. Bainum, Jr.'s two minor children. Shares owned by the Stewart Bainum Jr. Grantor Retained Annuity Trust dated September 10, 1996 ("GRAT") in which Mr. Bainum, Jr. is the sole trustee. The GRAT distributed 22,240 shares to the Stewart Bainum Jr. Declaration of Trust. Incentive Stock Option Plan shares held by Mr. Bainum, Jr. Non-Qualified Stock Option Plan shares held by Mr. Bainum, Jr. Mr. Bainum substituted shares from his GRAT to the Stewart Bainum Jr. Trust. Effective December 31, 2004, Mr. Bainum resigned as Trustee of a trust for the benefit of his great-nephew. Mr. Bainum received an additional 130 shares in the Plan. Shares in Mr. Bainum, Jr's account pursuant to the terms of the Choice Hotels International, Inc. Savings and Investment Plan. Mr. Bainum received 43 shares in the Plan. Christine A. Shreve, Attorney-in-fact 2005-02-10 -----END PRIVACY-ENHANCED MESSAGE-----