-----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, GgpgkeXzLI/oaB8QNkmrLZR1wGna9DGQEvhfbXcUHQYkkq4llYkHRESMsBFhR9bW oj+Sq7GROntkk9Fg/8o2oA== 0001181431-11-009021.txt : 20110210 0001181431-11-009021.hdr.sgml : 20110210 20110210150101 ACCESSION NUMBER: 0001181431-11-009021 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20101231 FILED AS OF DATE: 20110210 DATE AS OF CHANGE: 20110210 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: 11591904 MAIL ADDRESS: STREET 1: 10770 COLUMBIA PIKE STREET 2: SUITE 100 CITY: SILVER SPRING STATE: MD ZIP: 20910 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: 3015925181 MAIL ADDRESS: STREET 1: 10750 COLUMBIA PIKE CITY: SILVER SPRING STATE: MD ZIP: 20901 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 5 1 rrd298036.xml X0303 5 2010-12-31 0 0 0 0001046311 CHOICE HOTELS INTERNATIONAL INC /DE CHH 0001085423 BAINUM ROBERTA 8171 MAPLE LAWN BLVD SUITE 375 FULTON MD 20759 0 0 1 0 Common Stock 1817724 I See Footnote Common Stock 95722 I See Footnote Common Stock 1400427 I See Footnote Common Stock 1430000 I See Footnote Common Stock 2010-12-31 2010-12-31 5 J 0 305599 0 A 305599 I See Footnote Common Stock 2010-12-31 2010-12-31 5 J 0 100084 0 A 100084 I See Footnote Common Stock 2010-12-31 2010-12-31 5 J 0 179488 0 A 179488 I See Footnote Shares owned by the Roberta Bainum Declaration of Trust ("Roberta Bainum Trust"). Ms. Bainum is the trustee and the sole current beneficiary. The proportionate interest of the Roberta Bainum Trust in shares (978,482) owned by Mid Pines Associates, L.P.("Mid Pines") in which Ms. Bainum has shared voting authority. The proportionate interest of the Roberta Bainum Trust in shares (6,821,574) owned by Realty Investment Company, Inc. ("Realty") an investment company in which Ms. Bainum is a non-controlling shareholder. The Roberta Bainum Trust contributed 1,430,000 shares to a Limited Liability Company. A portion of the Limited Liability Company was contributed to a Grantor Retained Annuity Trust. The proportionate interest in shares owned by Realty (6,821,574) of individual trusts for the benefit of Ms. Bainum's adult children for which Ms. Bainum is the trustee. Beneficial ownership is disclaimed. The proportionate interest in shares owned by Mid Pines (978,482) of individual trusts for the benefit of Ms. Bainum's adult children for which Ms. Bainum is the trustee. Beneficial ownership is disclaimed. Shares owned by individual trusts for the benefit of Ms. Bainum's adult children for which Ms. Bainum is the trustee. Beneficial ownership is disclaimed. Christine A. Shreve, Attorney-in-fact 2011-02-10 -----END PRIVACY-ENHANCED MESSAGE-----