-----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, WRRVTXhfuBs37DxEvB8QK1MwvDr41mzP8gCQjrIoFS6w/gpNb+aTmM2D1N+zmPFN Lqza94hW3udvEDuDzHR5ag== 0001181431-04-008284.txt : 20040211 0001181431-04-008284.hdr.sgml : 20040211 20040211170824 ACCESSION NUMBER: 0001181431-04-008284 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031231 FILED AS OF DATE: 20040211 ISSUER: 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 BUSINESS ADDRESS: STREET 1: 10750 COLUMBIA PIKE CITY: SILVER SPRING STATE: MD ZIP: 20901 BUSINESS PHONE: 3015925056 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BAINUM ROBERTA CENTRAL INDEX KEY: 0001085423 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13393 FILM NUMBER: 04587178 BUSINESS ADDRESS: STREET 1: 10770 COLUMBIA PIKE STREET 2: SUITE 100 CITY: SILVER SPRING STATE: MD ZIP: 20910 BUSINESS PHONE: 3014954400 MAIL ADDRESS: STREET 1: 10770 COLUMBIA PIKE STREET 2: SUITE 100 CITY: SILVER SPRING STATE: MD ZIP: 20910 5 1 rrd32594.xml X0201 5 2003-12-31 0 0 0 0001046311 CHOICE HOTELS INTERNATIONAL INC /DE CHH 0001085423 BAINUM ROBERTA 10770 COLUMBIA PIKE SUITE 100 SILVER SPRING MD 20901 0 0 1 0 Common Stock 2003-12-09 5 J 0 95457 0 D 53100 I See Footnote Common Stock 2003-12-09 5 J 0 73188 0 A 1560061 I See Footnote Common Stock 2003-12-09 5 J 0 12851 0 A 1572912 I See Footnote Common Stock 2003-07-23 5 J 0 50588 0 D 0 I See Footnote Common Stock 2003-12-09 5 J 0 73188 0 D 40712 I See Footnote Common Stock 2003-07-23 5 J 0 56833 0 D 0 I See Footnote Common Stock 2003-12-09 5 J 0 12851 0 D 7149 I See Footnote Common Stock 2003-12-09 5 J 0 95457 0 A 95457 I See Footnote Common Stock 700214 I See Footnote The proportionate interest of the Roberta Bainum Grantor Retained Annuity Trust dated September 5, 1996, ("GRAT") the sole trustee of which is Ms. Bainum in shares (600,000) owned by Mid Pines Associates, L.P. ("Mid Pines"). Shares owned by the Roberta Bainum Irrevocable Trust. Ms. Bainum's brother is trustee and she is the beneficiary. The proportionate interest of the Roberta Bainum Irrevocable Trust in shares (3,567,869) owned by Realty Investment Company, Inc. Ms. Bainum's brother is trustee and she is the beneficiary. The proportionate interest of shares that were held in trust for Ms. Bainum's minor child who has reached majority. The proportionate interest of the Roberta Bainum Irrevocable Trust in shares (600,000) owned by Mid Pines. Ms. Bainum's brother is trustee and she is the beneficiary. The proportionate interest of Roberta Bainum in shares (600,000) owned by Mid Pines. Shares owned by the GRAT in which Ms. Bainum is the sole trustee and current beneficiary. On December 9, 2003 Mid Pines made a distribution of a portion of its shares to its partners. Christine A. Shreve, Attorney-in-fact 2004-02-11 -----END PRIVACY-ENHANCED MESSAGE-----