0000899243-17-026875.txt : 20171117 0000899243-17-026875.hdr.sgml : 20171117 20171117190548 ACCESSION NUMBER: 0000899243-17-026875 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171115 FILED AS OF DATE: 20171117 DATE AS OF CHANGE: 20171117 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BARRACK THOMAS JR CENTRAL INDEX KEY: 0001076343 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37980 FILM NUMBER: 171212342 MAIL ADDRESS: STREET 1: C/O COLONY NORTHSTAR, INC. STREET 2: 515 S. FLOWER ST., 44TH FLOOR CITY: LOS ANGELES STATE: CA ZIP: 90071 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Colony NorthStar, Inc. CENTRAL INDEX KEY: 0001679688 STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798] IRS NUMBER: 464591526 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 515 SOUTH FLOWER STREET STREET 2: 44TH FLOOR CITY: LOS ANGELES STATE: CA ZIP: 90071 BUSINESS PHONE: 310-282-8820 MAIL ADDRESS: STREET 1: 515 SOUTH FLOWER STREET STREET 2: 44TH FLOOR CITY: LOS ANGELES STATE: CA ZIP: 90071 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-11-15 0 0001679688 Colony NorthStar, Inc. CLNS 0001076343 BARRACK THOMAS JR C/O COLONY NORTHSTAR, INC., 515 SOUTH FLOWER STREET, 44TH FLOOR LOS ANGELES CA 90071 1 1 0 0 Executive Chairman Class B Common Stock 2017-11-15 4 J 0 5634 0.00 D 736240 I By Family Trust Class A Common Stock 2017-11-15 4 J 0 5634 0.00 A 1371124 I By Family Trust OP Units 2017-11-15 5 G 0 E 200000 0.00 A Class A Common Stock 200000 26136586 I See footnote In connection with a charitable donation of 200,000 OP Units owned indirectly by Mr. Jonathan Grunzweig, in accordance with the terms of the Class B common stock owned by Mr. Barrack, 5,634 shares of Class B common stock were required to be converted to Class A common stock. The OP Units are redeemable for shares of Class A Common Stock or cash at the discretion of the Issuer. The OP Units do not have expiration dates. The OP Units are held by limited liability companies controlled by the reporting person. The reporting person disclaims beneficial ownership of the securities disposed of except to the extent of his pecuniary interest therein. /s/ David A. Palame, as Attorney-in-fact 2017-11-17