-----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, EvBTAds0grNHZemVMNbggrjfsnc6lmzBFKvn61ozC7Z/1wQ3wWzJ6wjCYmrPMVJT 1canLrCaTi5WTCi35ocgnw== 0001046311-99-000016.txt : 19990511 0001046311-99-000016.hdr.sgml : 19990511 ACCESSION NUMBER: 0001046311-99-000016 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19990419 FILED AS OF DATE: 19990510 SUBJECT COMPANY: 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 FILING VALUES: FORM TYPE: 3 SEC ACT: SEC FILE NUMBER: 001-13393 FILM NUMBER: 99614953 BUSINESS ADDRESS: STREET 1: 10770 COLUMBIA PIKE CITY: SILVER SPRING STATE: MD ZIP: 60563 BUSINESS PHONE: 3015925000 MAIL ADDRESS: STREET 1: 10770 COLUMBIA PIKE CITY: SILVER SPRING STATE: MD ZIP: 60563 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 COMPANY DATA: COMPANY CONFORMED NAME: BAINUM ROBERTA CENTRAL INDEX KEY: 0001085423 STANDARD INDUSTRIAL CLASSIFICATION: [] OWNER FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: C/O REALTY INVESTMENT CO STREET 2: 8737 COLESVILLE RD SUITE 800 CITY: SILVER SPRING STATE: MD ZIP: 20910 BUSINESS PHONE: 3014954400 MAIL ADDRESS: STREET 1: C/O REALTY INVESTMENT CO STREET 2: 8737 COLESVILLE RD SUITE 800 CITY: SILVER SPRING STATE: MD ZIP: 20910 3 1 FORM 3 - 4/19/99 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 3 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 1. Name and Address of Reporting Person Bainum, Roberta 8737 Colesville Road, Suite 800 Silver Spring, MD 20910 USA 2. Date of Event Requiring Statement (Month/Day/Year) 4/19/99 3. IRS or Social Security Number of Reporting Person (Voluntary) ###-##-#### 4. Issuer Name and Ticker or Trading Symbol Choice Hotels International, Inc. CHH 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) ( ) Director (X) 10% Owner ( ) Officer (give title below) ( ) Other (specify below) 6. If Amendment, Date of Original (Month/Day/Year) 7. Individual or Joint/Group Filing (Check Applicable Line) (X) Form filed by One Reporting Person ( ) Form filed by More than One Reporting Person
___________________________________________________________________________________________________________________________________ Table I -- Non-Derivative Securities Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1. Title of Security |2. Amount of |3. Ownership |4. Nature of Indirect | | Securities | Form: | Beneficial Ownership | | Beneficially | Direct(D) or | | | Owned | Indirect(I) | | ___________________________________________________________________________________________________________________________________| |195,072 |I |Note 1 | - -----------------------------------------------------------------------------------------------------------------------------------| |9,641 |I |Note 2 | - -----------------------------------------------------------------------------------------------------------------------------------| |1,906,369 |I |Note 3 | - -----------------------------------------------------------------------------------------------------------------------------------| |700,214 |I |Note 4 | - -----------------------------------------------------------------------------------------------------------------------------------| |72,484 |I |Note 5 | - -----------------------------------------------------------------------------------------------------------------------------------| |20,000 |I |Note 6 | - -----------------------------------------------------------------------------------------------------------------------------------| |5,425 |I |Note 7 | - -----------------------------------------------------------------------------------------------------------------------------------| |60,000 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________| ___________________________________________________________________________________________________________________________________ Table II -- Derivative Securitites Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1.Title of Derivative |2.Date Exer- |3.Title and Amount | |4. Conver-|5. Owner- |6. Nature of Indirect | Security | cisable and | of Underlying | |sion or |ship | Beneficial Ownership | | Expiration | Securities | |exercise |Form of | | | Date(Month/ |-----------------------|---------|price of |Deriv- | | | Day/Year) | |Amount |deri- |ative | | | Date | Expira- | |or |vative |Security: | | | Exer- | tion | Title |Number of|Security |Direct(D) or | | | cisable | Date | |Shares | |Indirect(I) | | ___________________________________________________________________________________________________________________________________| ___________________________________________________________________________________________________________________________________|
Explanation of Responses: Note 1: The proportionate interest of the Roberta Bainum Grantor Retained Annuity Trust dated September 5, 1996, the sole trustee of which is Ms. Bainum, in shares (1,779,628) owned by Mid Pines Associates, L.P. Note 2: The proportionate interest of Roberta Bainum's minor child in shares (112,200) owned by Vintage Limited Partnership. Note 3: Shares owned by the Roberta Bainum Irrevocable Trust. Ms. Bainum's two brothers are co-trustees and she is the beneficiary. Note 4: The proportionate interest of the Roberta Bainum Irrevocable Trust in shares (3,567,869) owned by Realty Investment Company, Inc. Ms. Bainum's two brothers are co-trustees and she is the beneficiary. Note 5: The proportionate interest of the Roberta Bainum Irrevocable Trust in shares (1,779,628) owned by Mid Pines Associates, L.P. Ms. Bainum's two brothers are co-trustees and she is the beneficiary. Note 6: The proportionate interest of Roberta Bainum in shares (1,779,628) owned by Mid Pines Associates, L.P. Note 7: The proportionate interest of the Robert Bainum Irrevocable Trust in shares (112,200) owned by Vintage Limited Partnership. Ms. Bainum's brothers are co-trustees and she is the beneficiary. SIGNATURE OF REPORTING PERSON Roberta Bainum DATE 5/7/99 -----END PRIVACY-ENHANCED MESSAGE-----