0001144204-19-013496.txt : 20190312
0001144204-19-013496.hdr.sgml : 20190312
20190312153504
ACCESSION NUMBER: 0001144204-19-013496
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190308
FILED AS OF DATE: 20190312
DATE AS OF CHANGE: 20190312
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SAMPSON RANDALL D
CENTRAL INDEX KEY: 0001042527
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37858
FILM NUMBER: 19675008
MAIL ADDRESS:
STREET 1: 1100 CANTERBURY ROAD
CITY: SHAKOPEE
STATE: MN
ZIP: 55379
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Canterbury Park Holding Corp
CENTRAL INDEX KEY: 0001672909
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-RACING, INCLUDING TRACK OPERATION [7948]
IRS NUMBER: 475349765
STATE OF INCORPORATION: MN
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1100 CANTERBURY ROAD S.
CITY: SHAKOPEE
STATE: MN
ZIP: 55379
BUSINESS PHONE: (952) 445-7223
MAIL ADDRESS:
STREET 1: 1100 CANTERBURY ROAD S.
CITY: SHAKOPEE
STATE: MN
ZIP: 55379
FORMER COMPANY:
FORMER CONFORMED NAME: New Canterbury Park Holding Corp
DATE OF NAME CHANGE: 20160422
4
1
tv516070_4.xml
OWNERSHIP DOCUMENT
X0306
4
2019-03-08
0
0001672909
Canterbury Park Holding Corp
CPHC
0001042527
SAMPSON RANDALL D
1100 CANTERBURY ROAD
SHAKOPEE
MN
55379
1
1
1
0
President and CEO
Common Stock
2019-03-08
4
M
0
4722
14.10
A
253068
D
Common Stock
2019-03-08
4
F
0
1495
14.10
D
251573
D
Common Stock
344000
I
By Trust
The stock is owned by Marian Arlis Sampson 2012 Irrevocable Trust. The reporting person is a trustee of the Trust and disclaims any beneficial ownership of the stock, except to the extent of the reporting person's pecuniary interest in the shares [held by trust].
The reporting person has elected to satisfy his tax withholding obligation in connection with a deferred stock grant by directing the Company to withhold shares otherwise issuable pursuant to the previously reported grant.
/s/ Randall D. Sampson
2019-03-12