-----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, WuWhvH0TYL0L47ntd/0otjCb9Wac1kBOQqsPA9w81JMKOjfVQopRXalbtj/VLPf0 2cYL9QJ63KF3Hb4SsJOu1w== 0001209191-04-033272.txt : 20040629 0001209191-04-033272.hdr.sgml : 20040629 20040629115711 ACCESSION NUMBER: 0001209191-04-033272 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040625 FILED AS OF DATE: 20040629 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MCTAVISH KEVIN C CENTRAL INDEX KEY: 0001208788 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14537 FILM NUMBER: 04887449 BUSINESS ADDRESS: STREET 1: 5400 LBJ FREEWAY STREET 2: STE 1470 CITY: DALLAS STATE: TX ZIP: 75230 BUSINESS PHONE: 9729828653 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 0001208788 MCTAVISH KEVIN C 3445 PEACHTREE ROAD, N.E. ATLANTA GA 30326 1 0 0 0 Common Stock 2004-06-25 4 P 0 2000.0000 10.5000 A 11341.0000 I By partnership Common Stock 2004-06-25 4 P 0 2000.0000 10.5100 A 13341.0000 I By son Common Stock 2004-06-25 4 P 0 2000.0000 10.5100 A 15341.0000 I By daughter Common Stock 2004-06-25 4 P 0 2000.0000 10.5000 A 17341.0000 I By daughter Common Stock 2004-06-25 4 P 0 1000.0000 10.5100 A 18341.0000 I By wife Common Stock 2004-06-25 4 P 0 1000.0000 10.5000 A 19341.0000 D Common Stock 2004-06-25 4 P 0 2000.0000 10.5100 A 21341.0000 D Stock Option 10.5200 2004-06-25 4 A 0 5000.0000 0 A 2014-06-25 Common Stock 5000.0000 26341.0000 D Reporting person owns 50% of MAC Partners and could therefore be deemed to be the beneficial owner of the shares owned by MAC Partners. Reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that reporting person is the beneficial owner of such securities for purposes of section 16 or for any other purpose. Kimberline McTavish, reporting person's wife, purchased 1,000 shares in her IRA account. Purchased in reporting person's IRA account. Purchased in reporting person's SEP-IRA account. The option vests in three equal annual installments beginning June 25, 2005. Kevin McTavish 2004-06-29 -----END PRIVACY-ENHANCED MESSAGE-----