-----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, KaKpT9siqHPVjR+qqSDsLgPZE92QEPw5XptkNTBATkinIc8/HN01XNFNw38A2Yej WprBzd5Gahqj7qrTAsX4tw== 0000950144-98-014051.txt : 19981222 0000950144-98-014051.hdr.sgml : 19981222 ACCESSION NUMBER: 0000950144-98-014051 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19981211 FILED AS OF DATE: 19981221 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: 98773034 BUSINESS ADDRESS: STREET 1: 1601 BELVEDERE RD CITY: WEST PALM BEACH STATE: FL ZIP: 33406 BUSINESS PHONE: 5616899970 MAIL ADDRESS: STREET 1: 1601 BELVEDERE RD CITY: WEST PALM BEACH STATE: FL ZIP: 33406 COMPANY DATA: COMPANY CONFORMED NAME: LANG JOHN M CENTRAL INDEX KEY: 0001074125 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 3 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 3 1 LODGIAN, INC FORM 3 FOR JOHN LANG 1 - -------- FORM 3 - -------- U.S. SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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 - ------------------------------------------------------------------------------------------------------------------------------------ 1. Name and Address of Reporting Person* 2. Date of Event Requiring 4. Issuer Name and Ticker or 6. If Amendment, Date Lang John M. Statement Trading Symbol of Original - ---------------------------------------- (Month/Day/Year) Lodgian, Inc. (LOD) (Month/Day/Year) (Last) (First) (Middle) 12/11/98 ---------------------------------- 3399 Peachtree Road, N.E. Suite 2050 ---------------------------- 5. Relationship of Reporting ----------------------- - ---------------------------------------- 3. IRS or Social Security Person to Issuer 7. Individual or Joint/ (Street) Number of Reporting (Check all applicable) Group Filing (Check Atlanta GA 30326 Person (Voluntary) X Director 10% Owner applicable line) - -------------------------------------- ----- ----- X Form filed by (City) (State) (Zip) ---------------------------- Officer Other ----- One Reporting ----- (give ----- (specify Person title below) below) Form filed by ----- More than One ---------------------------------- Reporting Person - ------------------------------------------------------------------------------------------------------------------------------------ TABLE 1 -- NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Security 2. Amount of Securities 3. Ownership Form: 4. Nature of Indirect (Instr. 4) Beneficially Owned Direct (D) or Beneficial (Instr. 4) Indirect (I) Ownership (Instr. 4) (Instr. 5) - ------------------------------------------------------------------------------------------------------------------------------------ Lodgian Common Stock 86,535 D - ------------------------------------------------------------------------------------------------------------------------------------ Lodgian Common Stock 192,034 I * - ------------------------------------------------------------------------------------------------------------------------------------ Lodgian Common Stock 2,766 I ** - ------------------------------------------------------------------------------------------------------------------------------------ Lodgian Common Stock 9,668 I *** - ------------------------------------------------------------------------------------------------------------------------------------ Lodgian Common Stock 4,080 I **** - ------------------------------------------------------------------------------------------------------------------------------------ Lodgian Common Stock 1,441 I ***** - ------------------------------------------------------------------------------------------------------------------------------------ *If the form is filed by more than one Reporting Person, see Instruction 4(b)(v). Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over) (Print or Type Responses) (8/96)
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FORM 3 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Derivative Security 2. Date 3. Title and Amount of 4. Conver- 5. Owner- 6. Nature of Indirect (Instr. 4) Exercisable and Securities Underlying sion or ship Beneficial Ownership Expiration Date Derivative Security Exercise Form of (Instr. 5) (Month/Day/ (Instr. 4) Price of Deriv- Year) Deri- ative vative Security: Security Direct ------------------------------------------------- (D) or Date Expira- Amount or Indirect Exercis- tion Title Number (I) able Date of Shares (Instr. 5) - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ Explanation of Responses: /s/ JOHN M. LANG December 21, 1998 **Intentional misstatements or omissions of facts constitute Federal Criminal ------------------------------- ------------------ Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). **Signature of Reporting Person Date Note. File three copies of this form, one of which must be manually signed. Page 2 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. (Print or Type Responses)
3 * The reporting person hereto is the sole member and manager of P.T. Partners LLC, the holder of the shares and, in accordance with Rule 16a-1(a)(2), the reporting person may be deemed to be the beneficial owner of all shares held by P.T. Partners, LLC. ** The reporting person is a manager and member of ProTrust Holdings, LLC, the general partner of ProTrust Properties IV, Ltd., and pursuant to Rule 16a-1(a)(2)(ii), may be deemed to be the beneficial owner of 2,766 shares held by ProTrust Properties IV, Ltd. *** The reporting person is a manager and member of ProTrust Holdings II, LLC, the general partner of ProTrust Properties V, Ltd., and, pursuant to Rule 16a-1(a)(2)(ii), may be deemed to be the beneficial owner of 9,668 shares held by ProTrust Properties V, Ltd. **** The reporting person is a manager and member of Hotel Investors, LLC, the general partner of Hotel Investors, L.P., and, pursuant to Rule 16a-1(a)(2)(ii), may be deemed to be the beneficial owner of 4,080 shares held by Hotel Investors, L.P. ***** The reporting person is a manager and member of ProTrust Equity Partners, LLC, the general partner of ProTrust Equity Growth Fund I, L.P., and pursuant to Rule 16a-1(a)(2)(ii), may be deemed to be the beneficial owner of 1,441 shares held by ProTrust Equity Growth Fund I, L.P. -----END PRIVACY-ENHANCED MESSAGE-----