0001140361-16-089674.txt : 20161214 0001140361-16-089674.hdr.sgml : 20161214 20161214164126 ACCESSION NUMBER: 0001140361-16-089674 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161214 FILED AS OF DATE: 20161214 DATE AS OF CHANGE: 20161214 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: 162051525 MAIL ADDRESS: STREET 1: HONEYWELL STREET 2: 101 COLUMBIA ROAD CITY: MORRISTOWN STATE: NJ ZIP: 07962 4 1 doc1.xml FORM 4 X0306 4 2016-12-14 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 2016-12-14 4 G 0 18042 0.00 D 111100 D Paired Shares 80005 I See footnote Paired Shares 9800 I See footnote Paired Shares 13800 I Spouse IRA Paired Shares 18200 I Spouse SEP 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. The reported transaction is a bona fide gift of Paired Shares to the Wallman Family Fund, a Fidelity Charitable donor-advised fund. A Form 4 reflecting the transaction in Paired Shares by the reporting person shown on this Form 4 has been concurrently filed with respect to ESH Hospitality, Inc. as issuer. These Paired Shares are held through the Richard F. Wallman IRA, an individual retirement account for which the reporting person is a fiduciary. These Paired Shares are held through the Richard F. Wallman SEP, an individual retirement account for which the reporting person is a fiduciary. /s/ Christopher Dekle, Attorney-in-Fact for Richard F. Wallman 2016-12-14