0001140361-15-022046.txt : 20150528 0001140361-15-022046.hdr.sgml : 20150528 20150528143529 ACCESSION NUMBER: 0001140361-15-022046 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150526 FILED AS OF DATE: 20150528 DATE AS OF CHANGE: 20150528 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Extended Stay America, Inc. CENTRAL INDEX KEY: 0001581164 STANDARD INDUSTRIAL CLASSIFICATION: HOTELS & MOTELS [7011] IRS NUMBER: 463140312 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 11525 N. COMMUNITY HOUSE ROAD, SUITE 100 CITY: CHARLOTTE STATE: NC ZIP: 28277 BUSINESS PHONE: (980) 345-1600 MAIL ADDRESS: STREET 1: 11525 N. COMMUNITY HOUSE ROAD, SUITE 100 CITY: CHARLOTTE STATE: NC ZIP: 28277 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WALLMAN RICHARD F CENTRAL INDEX KEY: 0001198092 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36190 FILM NUMBER: 15895033 MAIL ADDRESS: STREET 1: HONEYWELL STREET 2: 101 COLUMBIA ROAD CITY: MORRISTOWN STATE: NJ ZIP: 07962 4 1 doc1.xml FORM 4 X0306 4 2015-05-26 0 0001581164 Extended Stay America, Inc. STAY 0001198092 WALLMAN RICHARD F C/O EXTENDED STAY AMERICA, INC. 11525 N. COMMUNITY HOUSE ROAD, SUITE 100 CHARLOTTE NC 28277 1 0 0 0 Paired Shares 2015-05-26 4 G 0 11159 0 D 83423 D Paired Shares 72305 I See footnote Each Paired Share is comprised of one share of common stock, par value $0.01 per share, of Extended Stay America, Inc. and one share of Class B Common Stock, par value $0.01 per share, of ESH Hospitality, Inc., which shares are paired and traded as a single unit. A Form 4 reflecting the transactions in Paired Shares by the reporting person shown on this Form 4 has been concurrently filed with respect to ESH Hospitality, Inc. as issuer. This transaction involved a gift of Paired Shares to the reporting person's Fidelity Charitable donor advised fund. The reporting person does not have any pecuniary interest in the fund's assets. The reporting person holds these Paired Shares through the Richard F. Wallman IRA, an individual retirement account for which he is a fiduciary. /s/ Richard F. Wallman 2015-05-28