0000899243-23-004969.txt : 20230214
0000899243-23-004969.hdr.sgml : 20230214
20230214153936
ACCESSION NUMBER: 0000899243-23-004969
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20221231
FILED AS OF DATE: 20230214
DATE AS OF CHANGE: 20230214
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: EPPERSON STUART W
CENTRAL INDEX KEY: 0001190973
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-26497
FILM NUMBER: 23628089
MAIL ADDRESS:
STREET 1: 3780 WILL SCARLET RD
CITY: WINSTON SALEM
STATE: NC
ZIP: 27104
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: SALEM MEDIA GROUP, INC. /DE/
CENTRAL INDEX KEY: 0001050606
STANDARD INDUSTRIAL CLASSIFICATION: RADIO BROADCASTING STATIONS [4832]
IRS NUMBER: 770121400
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 6400 NORTH BELT LINE ROAD
CITY: IRVING
STATE: TX
ZIP: 75063
BUSINESS PHONE: 8059870400
MAIL ADDRESS:
STREET 1: 6400 NORTH BELT LINE ROAD
CITY: IRVING
STATE: TX
ZIP: 75063
FORMER COMPANY:
FORMER CONFORMED NAME: SALEM COMMUNICATIONS CORP /DE/
DATE OF NAME CHANGE: 19971201
5
1
doc5.xml
FORM 5 SUBMISSION
X0306
5
2022-12-31
0
0
0
0001050606
SALEM MEDIA GROUP, INC. /DE/
SALM
0001190973
EPPERSON STUART W
3780 WILL SCARLET RD
WINSTON SALEM
NC
27104
0
0
1
0
Class B Common Stock
2022-05-03
5
G
0
2776848
0.00
D
Class A Common Stock
2776848
0
D
Each share of Class B Common Stock is convertible into one of share of Class A Common Stock at any time, at the holder's election and upon the occurrence of other events set forth in the Issuer's Amended and Restated Certificate of Incorporation.
On May 3, 2022, Stuart W. Epperson transferred 2,776,848 shares of Class B Common Stock to an irrevocable trust for the benefit of his descendants. Stuart W. Epperson has not retained any voting or dispositive power over such gifted shares. This was a bona fide gift with no payment in consideration.
/s/Christopher J. Henderson, Attorney-in-fact for Stuart W. Epperson pursuant to a continuing Power of Attorney
2023-02-14