-----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, VgcPwCwCYlzOsjfLrlRcsqCxOSw4RsdVhsfZnd1o+XQyOC+rNaX9NtjsohEmmhPA 9giMcCj7thDb/ZkMn8kHAw== 0000914121-99-000958.txt : 19991018 0000914121-99-000958.hdr.sgml : 19991018 ACCESSION NUMBER: 0000914121-99-000958 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19990409 FILED AS OF DATE: 19991015 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: 3 SEC ACT: SEC FILE NUMBER: 001-14537 FILM NUMBER: 99728852 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: POSNER KENNETH R CENTRAL INDEX KEY: 0001096931 STANDARD INDUSTRIAL CLASSIFICATION: [] OFFICER FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 3445 PEACHTREE ROAD N E SUITE 700 STREET 2: LODGIAN INC CITY: ATLANTA STATE: CA ZIP: 30326 BUSINESS PHONE: 4043649400 MAIL ADDRESS: STREET 1: 3445 PEACHTREE ROAD N E SUITE 700 STREET 2: LODGIAN INC CITY: ATLANTA STATE: CA ZIP: 30326 3 1 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP - ------------------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION ------------------------------ FORM 3 Washington, D.C. 20549 OMB Approval - ------------------------- INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES ------------------------------ OMB Number: 3235-0104 Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Expires: December 31, 2001 Section 17(a) of the Public Utility Holding Company Act of 1935 or Estimated average burden Section 30(f) of the Investment Company Act of 1940 hours per response.......0.5 ------------------------------
(Print or Type Responses) - ------------------------------------------------------------------------------------------------------------------------------------ 1. Name and Address of Reporting Person* 2. Date of Event Requiring 4. Issuer name and Ticker or Trading Symbol Statement (Month/Day/Year) Lodgian, Inc. April 9, 1999 LOD Posner Kenneth R. ----------------------------------------------------------------------------------------- ------------------------------------ 3. I.R.S. Identification 5. Relationship of Reporting 6. If Amendment, Date of (Last) (First) (Middle) Number of Reporting Person(s) to Issuer Original Person, if an entity (Check all applicable) (Month/Day/Year) c/o Lodgian, Inc. (Voluntary) 3445 Peachtree Road, N.E., Suite 700 [ ] Director ------------------------------------ [X] Officer ---------------------------- (Street) (give title below) 7. Individual or Joint/Group [ ] 10% Owner Filing [ ] Other (Check Applicable Line) Atlanta GA 30326 (specify below) [X] Form Filed by One ------------------------------------ Reporting Person (City) (State) (Zip) Chief Financial Officer [ ] Form Filed by More and Executive Vice President than One Reporting ---------------------------- Person - ------------------------------------------------------------------------------------------------------------------------------------ TABLE I -- NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Security 2. Amount of Securities 3. Ownership Form: Direct (D) 4. Nature of Indirect (Instr. 4) Beneficially Owned or Indirect (I) (Instr. 5) Beneficial Ownership (Instr. 4) (Instr. 5) - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock, par value $.01 per share 10,000 D - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ 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 5(b)(v).
FORM 3 (CONTINUED) TABLE II-- DERIVATIVE SECURITIES BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of 2. Date Exer- 3. Title and Amount of 4. Conversion or 5. Ownership 6. Nature of Derivative cisable and Securities Underlying Exercise Price Form of Indirect Security Expiration Derivative Security of Derivative Derivative Beneficial (Instr. 4) Date (Instr. 4) Security Security: Ownership (Month/Day/Year) Direct (D) or (Instr. 5) Indirect (I) (Instr. 5) - ------------------------------------------------------------------------------------------------------------------------------------ Date Expira- Title Amount or Exer- tion Number of cisable Date Shares - ------------------------------------------------------------------------------------------------------------------------------------ Option to Purchase Common Stock 4/9/00 4/9/10 Common Stock 80,000 $5.00 D - ------------------------------------------------------------------------------------------------------------------------------------ Option to Purchase Common Stock 4/9/01 4/9/11 Common Stock 80,000 $5.00 D - ------------------------------------------------------------------------------------------------------------------------------------ Option to Purchase Common Stock 4/9/02 4/9/12 Common Stock 80,000 $5.00 D - ------------------------------------------------------------------------------------------------------------------------------------ Option to Purchase Common Stock 4/9/03 4/9/13 Common Stock 80,000 $5.00 D - ------------------------------------------------------------------------------------------------------------------------------------ Option to Purchase Common Stock 4/9/04 4/9/14 Common Stock 80,000 $5.00 D - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ Explanation of Responses: ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). Note: File three copies of this Form, one of which must be manually /s/ Kenneth R. Posner October 15, 1999 signed. If space is insufficient, see Instruction 6 for ------------------------------------ ------------------- procedure. Kenneth R. Posner Date
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