-----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, TQTKetuZlGdEoMysd5X+ygyvKr2BBwqVTVP6n8RzUCSIm36kvTCahE5GPNCJW7dF aHCJ2bN4wSU0JKHZriYCfA== 0001209191-04-033167.txt : 20040628 0001209191-04-033167.hdr.sgml : 20040628 20040628175708 ACCESSION NUMBER: 0001209191-04-033167 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040625 FILED AS OF DATE: 20040628 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ELLIS DANIEL E CENTRAL INDEX KEY: 0001207827 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14537 FILM NUMBER: 04886431 BUSINESS ADDRESS: STREET 1: 3445 PEACHTREE ROAD, NE CITY: ATLANTA STATE: GA ZIP: 30326 BUSINESS PHONE: 404-364-9400 ISSUER: 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 BUSINESS ADDRESS: STREET 1: 3445 PEACHTREE ROAD N E SUITE 700 CITY: ATLANTA STATE: GA ZIP: 30326 BUSINESS PHONE: 4043649400 MAIL ADDRESS: STREET 1: 3445 PEACHTREE ROAD N E SUITE 700 CITY: ATLANTA STATE: GA ZIP: 30326 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2004-06-25 0 0001066138 LODGIAN INC LGN 0001207827 ELLIS DANIEL E 3445 PEACHTREE ROAD, NE ATLANTA GA 30326 0 1 0 0 Senior VP & General Counsel Stock Option 10.5200 2005-06-25 4 A 0 27500.0000 0 A 2014-06-25 Common Stock 27500.0000 35850.0000 D The option vests in three equal installments beginning on June 25, 2005. Includes four (4) Class A warrants with an exercise price of $54.87 per share and thirteen (13) Class B warrants with an exercise price of $76.32 per share. The warrants are held in the Lodgian, Inc. 401K Plan. Daniel E. Ellis 2004-06-26 -----END PRIVACY-ENHANCED MESSAGE-----