0001209191-17-005061.txt : 20170123
0001209191-17-005061.hdr.sgml : 20170123
20170123154755
ACCESSION NUMBER: 0001209191-17-005061
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161231
FILED AS OF DATE: 20170123
DATE AS OF CHANGE: 20170123
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: 1 CHOICE HOTELS CIRCLE
STREET 2: SUITE 400
CITY: ROCKVILLE
STATE: MD
ZIP: 20850
BUSINESS PHONE: 3015925181
MAIL ADDRESS:
STREET 1: 1 CHOICE HOTELS CIRCLE
STREET 2: SUITE 400
CITY: ROCKVILLE
STATE: MD
ZIP: 20850
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: 17541028
MAIL ADDRESS:
STREET 1: 8171 MAPLE LAWN BLVD
STREET 2: SUITE 375
CITY: FULTON
STATE: MD
ZIP: 20759
5
1
doc5.xml
FORM 5 SUBMISSION
X0306
5
2016-12-31
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
2016-01-21
2016-01-21
5
J
0
175610
0.00
D
1520202
I
See Footnote
Common Stock
95722
I
See Footnote
Common Stock
975497
I
See Footnote
Common Stock
2016-01-21
2016-01-21
5
J
0
175610
0.00
A
1390380
I
See Footnote
Common Stock
113555
I
See Footnote
Common Stock
66418
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 and shares voting authority. Realty owns Choice stock as well as other assets.
The proportionate interest of Ms. Bainum, the Roberta Bainum Trust and grantor retained annuity trusts created by Ms. Bainum in shares owned by Sweetwater Holdings, LLC ("Sweetwater") a family investment entity in which Ms. Bainum shares voting authority.
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.
Christine A. Shreve, POA
2017-01-23