0001672909-24-000002.txt : 20240214 0001672909-24-000002.hdr.sgml : 20240214 20240214145857 ACCESSION NUMBER: 0001672909-24-000002 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231231 FILED AS OF DATE: 20240214 DATE AS OF CHANGE: 20240214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SAMPSON RANDALL D CENTRAL INDEX KEY: 0001042527 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37858 FILM NUMBER: 24636446 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 ORGANIZATION NAME: STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37858 FILM NUMBER: 24636445 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] ORGANIZATION NAME: 07 Trade & Services 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 X0508 5 2023-12-31 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 0 Common Stock 296637 D Common Stock 4433 I By 401(k) Plan Common Stock 34173 I By Trust Common Stock 667387 I By Trust Direct ownership includes 9,600 shares of deferred stock. Between January 1 and December 31, 2023, the reporting person acquired 596 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, 2023. Held by the Randall D. Sampson GST Trust, of which Mr. Sampson is the trustee and his grandchildren are beneficiaries. Held as of 12/31/23 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 trustee 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 2024-02-14