0001672909-23-000002.txt : 20230213
0001672909-23-000002.hdr.sgml : 20230213
20230213162337
ACCESSION NUMBER: 0001672909-23-000002
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20221231
FILED AS OF DATE: 20230213
DATE AS OF CHANGE: 20230213
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SAMPSON RANDALL D
CENTRAL INDEX KEY: 0001042527
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37858
FILM NUMBER: 23618851
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: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37858
FILM NUMBER: 23618850
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
5
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
5
2022-12-31
0
0
0
0001672909
Canterbury Park Holding Corp
CPHC
0001042527
SAMPSON RANDALL D
1100 CANTERBURY ROAD
SHAKOPEE
MN
55379
1
1
1
0
President & CEO
0001904182
Sampson Family Real Estate Holdings, LLC
930 LAKE SUSAN HILLS DR.
CHANHASSEN
MN
55317
0
0
1
0
Common Stock
278995
D
Common Stock
3837
I
By 401(k) Plan
Common Stock
667387
I
By Trust
Between January 1 and December 31, 2022, the reporting person acquired 435 shares of CPHC common stock under the CPHC 401(k) plan. The information in this report is based on a plan statement dated as of December 31, 2022.
Held as of 12/31/22 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 Lorman by Power of Attorney for Randall D. Sampson
2023-02-13