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