-----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, Qj6Sqn8hBrlQ7PDUXwOgfFCtJgfWDltEm2nkfd30zFDVs3G2hpptnU7/RXJmxvR1 gdh/e9TBzxWvPfnxaLrsoA== 0000914121-99-000429.txt : 19990507 0000914121-99-000429.hdr.sgml : 19990507 ACCESSION NUMBER: 0000914121-99-000429 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19990430 FILED AS OF DATE: 19990506 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: LODGIAN INC CENTRAL INDEX KEY: 0001066138 STANDARD INDUSTRIAL CLASSIFICATION: HOTELS & MOTELS [7011] IRS NUMBER: 522093696 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 001-14537 FILM NUMBER: 99612655 BUSINESS ADDRESS: STREET 1: 3445 PEACHTREE ROAD N E SUITE 700 CITY: ATLANTA STATE: CA ZIP: 30326 BUSINESS PHONE: 4043649400 MAIL ADDRESS: STREET 1: 3445 PEACHTREE ROAD N E SUITE 700 CITY: ATLANTA STATE: CA ZIP: 30326 COMPANY DATA: COMPANY CONFORMED NAME: LANG JOHN M CENTRAL INDEX KEY: 0001074125 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 3399 PEACHTREE ROAD N E SUITE 2050 CITY: ATLANTA STATE: GA ZIP: 30326 BUSINESS PHONE: 4048129003 MAIL ADDRESS: STREET 1: 3399 PEACHTREE ROAD N E SUITE 2050 CITY: ATLANTA STATE: GA ZIP: 30326 4 1 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP - ---------------------------- FORM 4 __ Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). (Print or Type Responses) - ---------------------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 - ------------------------------------- OMB Approval - ------------------------------------- OMB Number: 3235-0287 Expires: Estimated average burden hours per response...0.5 - -------------------------------------
- --------------------------------------------------- ------------------------------------------------------ ------------------------- 1. Name and Address of 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person(s) to Issuer Reporting Person* (Check all applicable) [x] Director __ 10% Owner __ Officer (give title below) __ Other (specify below) Lang John M. Lodigian, Inc. LOD - ------------------------------------------------------------------------------------------------------------------------------------ (Last) (First) (Middle) 3. I.R.S. or Social 4. Statement for 7. Individual or Joint/Group Filing Security Number of Month/Year (Check Applicable Line) Reporting Person [x]Form Filed by One Reporting Person (Voluntary) 04/99 __ Form Filed by More than One Reporting Person 3399 Peachtree Road, N.E., Suite 2050 - ------------------------------------------- ------------------ (Street) 5. If Amendment, Date of Original (Month/Year) Atlanta GA 30326 - ------------------------------------------------------------------------------------------------------------------------------------ (City) (State) (Zip) Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned - ------------------------------------------ ------------- ----------------- --------------------------------------------------------- 1. Title of Security 2. Trans- 3. Transaction 4. Securities Acquired (A) 5. Amount of 6. Ownership 7. Nature of (Instr. 3) action Code (Instr. or Disposed of (D) Securities Form: Indirect Date 8) (Instr. 3, 4 and 5) Beneficially Direct (D) Beneficial (Month/ Owned at End or Indirect Ownership Day/ of Month (I) (Instr. 4) Year) (Instr. 3 (Instr. 4) and 4) - ------------------------------------------------------------------------------------------------------------------------------------ Code V Amount (A) or (D) Price - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock, par value $.01 per share 4/15/99(1) J(2) 17,915 A 6.125 344,439 D,I (3) - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. * If the form is filed by more than one reporting person, see Instruction 4(b)(v).
FORM 4 (continued) Table II -- Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title 2. Conver- 3. Trans- 4. Trans- 5. Number of 6. Date 7. Title 8. Price 9. Number 10. Owner- 11. Nature of of sion or action action Derivative Exer- and of of ship Indirect Deri- Exercise Date Code Securities cisable Amount Deri- Deri- Form Beneficial vative Price of (Instr. Acquired (A) and Expi- of vative vative of Deri- Ownership Secu- Deri- (Month/ 8) or Disposed ration Under- Secu- Secu- vative (Instr. 4) rity vative Day/ of (D) Date Lying rity rities Security: (Instr. Security Year) (Instr. 3, (Month/ Securi- (Instr. Benefi- Direct 3) 4, and 5) Day/ ties 5) cially (D) or Year) (Instr. Owned Indirect 3 and 4) at End (I) of (Instr. Month 4) (Instr. 4) -------------------------------------------------- Code V (A) (D) Date Expir- Title Amount Exerci- ation or sable Date Number of Shares --------------------------------------------------- - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ Explanation of Responses: (1) Date represents the average date of receipt by the Reporting Person and his affiliates (as reported on the Reporting Person's initial Form 3) for all shares issued out of escrow to the Reporting Person or his affiliates. These shares were mailed April 12, 1999 via first class United States mail. (2) Shares represent the portion of shares issued, but held in escrow, pursuant to the merger of Impac Hotel Group, LLC and Servico, Inc. on December 11, 1998 (the "Merger"), and which were released from escrow after the completion of certain hotels. The certificates representing these shares are dated March 12, 1999, but were received by the Reporting Person and his affiliates on or about April 15, 1999 and are therefore reported currently. (3) 121,984 shares are owned directly, including 5,449 shares released from escrow and reported on this Form 4. 222,455 shares are owned indirectly, including 12,466 shares released from escrow and reported on this Form 4. According to the relationships previously reported on the Reporting Person's Form 3 Initial Statement of Beneficial Ownership of Securities, the Reporting Person may be deemed to be the beneficial owner of 12,098 shares received from escrow by P.T. Partners LLC, 58 shares received from escrow by ProTrust Properties IV, Ltd., 203 shares received from escrow by ProTrust Properties V, Ltd., 85 shares received from escrow by Hotel Investors, L.P., and 22 shares received from escrow by ProTrust Equity Growth Fund I, L.P. ** Intentional misstatements or omissions of /s/ John M. Lang May 6, 1999 facts constitute Federal Criminal ------------------------------------------- ------------------------------ Violations. ** Signature of Reporting Person Date See 18 U.S.C. and 15 U.S.C. 78ff(a). Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient, see Instruction 6 for procedure. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless form displays a currently valid OMB number.
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