-----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, KJRzVbLC05mzytmenSZ1KvRsK2WXPkClb339wi9WAZO5qa0nx7rwf8jp86VSjuJH ULf5IEvxub/lw7x1CRFlrQ== 0000950142-00-000096.txt : 20000204 0000950142-00-000096.hdr.sgml : 20000204 ACCESSION NUMBER: 0000950142-00-000096 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20000101 FILED AS OF DATE: 20000203 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: 522688 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: YUNG WILLIAM J CENTRAL INDEX KEY: 0001097189 STANDARD INDUSTRIAL CLASSIFICATION: [] OWNER FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 207 GRANDVIEW DRIVE CITY: FT MITCHELL STATE: KY ZIP: 41017 BUSINESS PHONE: 6063310091 MAIL ADDRESS: STREET 1: 207 GRANDVIEW DRIVE CITY: FT MITCHELL STATE: KY ZIP: 41017 4 1 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
U.S. 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 - -------------------------------- -------------------------------- FORM 4 OMB APPROVAL - -------------------------------- -------------------------------- [ ] CHECK THIS BOX IF NO LONGER OMB Number: 3235-0287 SUBJECT TO SECTION 16. FORM 4 Expires: December 31, 2001 OR FORM 5 OBLIGATIONS MAY Estimated average burden CONTINUE. SEE INSTRUCTION 1(B). hours per response .... 0.5 - -------------------------------- --------------------------------
1. Name and Address of Reporting Person * Casuarina Cayman Holdings Ltd. (Last) (First) (Middle) 207 Grandview Drive (Street) Fort Mitchell KY 41017 (City) (State) (Zip) 2. Issuer Name and Ticker or Trading Symbol Lodgian, Inc./LOD 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Statement of Month/Year 1/00 5. If Amendment, Date or Original (Month/Year) 6. Relationship of Reporting Person to Issuer (Check all applicable) Director X 10% Owner ----- ----- Officer (give title Other ----- below) ----- (specify below) ---------------------------------------- 7. Individual or Join/Group Filing (Check Applicable Line) Form filed by One Reporting Person ----- X Form filed by More than One Reporting Person -----
TABLE I-- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED 1. Title of Security 2. Transaction 3. Trans- 4. Securities Acquired (A) 5. Amount of 6. Owner- 7. Nature (Instr. 3) Date action or Disposed of (D) Securities ship of In- Code (Instr. 3, 4 and 5) Beneficially Form: direct (Month/ (Instr. 8) Owned at Direct Bene- Day/ ------------- ------------------------- End of (D) ficial Year) (A) Month Indirect Owner- Code V Amount or Price (Instr. 3 (I) ship (D) and 4) (Instr. 4) (Instr. 4) - ----------------------------- -------------- ------------- ---------- --- ------- ----------------- ----------- ------------ Common Stock, par value $0.01 per share 1/7/00 P 16,100 A $4.8750 (1) (1) Common Stock, par value $0.01 per share 1/11/00 P 50,000 A $4.7500 (1) (1) Common Stock, par value $0.01 per share 1/12/00 P 50,000 A $4.7500 3,091,800 (1) (1) - ----------------------------- -------------- ------------- ---------- --- ------- ----------------- ----------- ------------
Reminder: Report on a separate line for each class of (Over) securities beneficially owned directly or indirectly. SEC 1474 (3-99) * If the form is filed by more than one reporting person, see Instruction 4(b)(v). Potential Persons who are to respond to the collection of Information contained in this form are not required to respond unless the form displays a currently valid OMB control number. Page 1 of 3
FORM 4 (continued) TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) 1. Title of Derivative 2. Conver- 3. Trans- 4. Transac- 5. Number of Deriv- 6. Date Exer- Security (Instr. 3) sion or action tion Code ative Securities Ac- cisable and Ex- Exercise Date (Instr. 8) quired (A) or Dis- piration Date Price of posed of (D) Deriv- (Month/ (Instr. 3, 4 and 5) (Month/Day/ ative Day/ Year) Security Year) ------------- ------------------------- ---------------------- Date Expira- Code V (A) (D) Exer- tion cisable Date - -------------------------------------- ------------- ----------- ------------- ----------- ----------- ----------- --------- None. - -------------------------------------- ------------- ----------- ------------- ----------- ----------- ----------- --------- 7. Title and Amount of 8. Price 9. Number 10. Owner- 11. Na- Underlying Securities Deriv of Deriv- ship ture ative ative Form of In- (Instr. 3 and 4) Secur- Secur- of De- direct ity ities rivative Bene- (Instr. Bene Secu- ficial 5) ficially rity: Own- Owned Direct ership - -------------------------------------- at End (D) or (Instr. 4) Amount or of Indi- Title Number of Month rect (I) Shares (Instr. 4) (Instr. 4) - --------------------- --------------- ------------- ------------- ------------- -------------- - --------------------- --------------- ------------- ------------- ------------- --------------
Explanation of Responses: (1) Casuarina Cayman Holdings Ltd. ("Casuarina") directly owns 493,700 shares of Lodgian, Inc. Common Stock, par value $0.01 per share (the "Shares"). Because William J. Yung may be deemed to control Casuarina, William J. Yung and Casuarina may be deemed to have beneficial ownership and voting and dispositive control of all such Shares held directly by Casuarina. In addition, the 1994 William J. Yung Family Trust (the "1994 Trust"), The 1998 William J. Yung and Martha A. Yung Family Trust (the "1998 Trust"), Edgecliff Management, LLC ("Management"), Edgecliff Holdings, LLC ("Holdings"), Joseph Yung and William J. Yung, may pursuant to Rule 13d-5 of the Securities Exchange Act of 1934 (the "Securities Act"), be deemed to be the beneficial owner of the 493,700 Shares owned directly by Casuarina. Holdings directly owns 2,598,100 Shares. William J. Yung as the sole managing member of Management, which is the sole managing member of Holdings, may be deemed to control Holdings and, therefore, William J. Yung and Holdings may be deemed to have beneficial ownership and voting and dispositive control of all such Shares held of record by Holdings. In addition, Casuarina, the 1994 Trust, the 1998 Trust, Management, Joseph Yung and William J. Yung, may, pursuant to Rule 13d-5 of the Securities Act, be deemed to be the beneficial owner of the 2,598,100 Shares owned directly by Holdings. CASUARINA CAYMAN HOLDINGS LTD. /s/ William J. Yung February 3, 2000 ------------------------------- -------------------- **Signature of Reporting Person Date Name: William J. Yung Title: President ** 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 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 the form displays a currently valid OMB number. Page 2 of 3 Joint Filer Information Designated Filer: Casuarina Cayman Holdings Ltd. Issuer and Ticker Symbol: Lodgian, Inc./LOD Statement of Month/Year: 1/00
Listing of Names and Addresses of Other Reporting Persons Signatures of Other Reporting Persons Date - ---------------------------------- ----------------------------------------- -------- Edgecliff Holdings, LLC EDGECLIFF HOLDINGS, LLC 207 Grandview Drive Fort Mitchell, KY 41017 By: /s/ William J. Yung 2/3/00 ------------------- Name: William J. Yung Title: President Edgecliff Management, LLC EDGECLIFF MANAGEMENT, LLC 207 Grandview Drive Fort Mitchell, KY 41017 By: /s/ William J. Yung 2/3/00 ------------------- Name: William J. Yung Title: President 1994 William J. Yung Family Trust 1994 WILLIAM J. YUNG FAMILY 207 Grandview Drive TRUST Fort Mitchell, KY 41017 By: The Fifth Third Bank, as Trustee By: /s/ Timothy A. Rodgers 2/3/00 ---------------------- Name: Timothy A. Rodgers Title: Trust Officer Joseph Yung /s/ Joseph Yung 2/3/00 207 Grandview Drive --------------- Fort Mitchell, KY 41017 Joseph Yung William J. Yung /s/ William J. Yung 2/3/00 1200 Cypress Street ------------------- Cincinnati, OH 45206 William J. Yung The 1998 William J. Yung 1998 WILLIAM J. YUNG and Martha A. Yung Family Trust AND MARTHA A. YUNG FAMILY 207 Grandview Drive TRUST Fort Mitchell, KY 41017 By: The Fifth Third Bank, as Trustee By: /s/ Timothy A. Rodgers 2/3/00 ---------------------- Name: Timothy A. Rodgers Title: Trust Officer
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