0001672909-22-000005.txt : 20220301 0001672909-22-000005.hdr.sgml : 20220301 20220301130325 ACCESSION NUMBER: 0001672909-22-000005 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220216 FILED AS OF DATE: 20220301 DATE AS OF CHANGE: 20220301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SAMPSON RANDALL D CENTRAL INDEX KEY: 0001042527 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-37858 FILM NUMBER: 22695898 MAIL ADDRESS: STREET 1: 1100 CANTERBURY ROAD CITY: SHAKOPEE STATE: MN ZIP: 55379 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sampson Family Real Estate Holdings, LLC CENTRAL INDEX KEY: 0001904182 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-37858 FILM NUMBER: 22695897 BUSINESS ADDRESS: STREET 1: 930 LAKE SUSAN HILLS DR. CITY: CHANHASSEN STATE: MN ZIP: 55317 BUSINESS PHONE: (952) 496-6429 MAIL ADDRESS: STREET 1: 930 LAKE SUSAN HILLS DR. CITY: CHANHASSEN STATE: MN ZIP: 55317 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/A 1 primary_doc.xml PRIMARY DOCUMENT X0306 4/A 2022-02-16 2022-02-18 0 0001672909 Canterbury Park Holding Corp CPHC 0001042527 SAMPSON RANDALL D 1100 CANTERBURY ROAD SHAKOPEE MN 55379 1 1 1 0 President and CEO 0001904182 Sampson Family Real Estate Holdings, LLC 930 LAKE SUSAN HILLS DR. CHANHASSEN MN 55317 0 0 1 0 Common Stock 2022-02-16 4 A 0 4000 0 A 279782 D Common Stock 2022-02-17 4 F 0 1919 21.8 D 277863 D Common Stock 3402 I By 401(k) Plan Common Stock 667387 I By Trust Deferred stock awards vest 25% annually for each of the next four years. The reporting person has elected to satisfy his tax withholding obligation in connection with the vesting of a prior deferred stock grant by directing the Company to withhold shares otherwise issuable pursuant to the previously reported grant. Amendment to original filing is due to an oversight in Table I - Box 4 as the amount of shares withheld was incorrect. The correct amount is 1,919. Held by the Sampson Family Real Estate Holdings, LLC (SFREH), of which Mr. Sampson is the sole manager. Members of SFREH include the Marian Arlis Sampson 2012 Family Irrevocable Trust, the Curtis A. Sampson Family Trust, and the Randall D. Sampson GST Trust, of which Mr. Sampson is the grantor and his grandchildren are beneficiaries. Mr. Sampson and his children are among the beneficiaries of the Marian Arlis Sampson 2012 Family Irrevocable Trust and the Curtis A. Sampson Family Trust. Mr. Sampson disclaims beneficial ownership in membership interests of SFREH in which he has no pecuniary interest. Alex Scheinost by Power of Attorney for Randall D. Sampson 2022-03-01