0001571049-17-000364.txt : 20170112
0001571049-17-000364.hdr.sgml : 20170112
20170112214425
ACCESSION NUMBER: 0001571049-17-000364
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170110
FILED AS OF DATE: 20170112
DATE AS OF CHANGE: 20170112
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Colony NorthStar, Inc.
CENTRAL INDEX KEY: 0001679688
STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798]
IRS NUMBER: 352563017
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 399 PARK AVENUE
STREET 2: 18TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
BUSINESS PHONE: 212-547-2600
MAIL ADDRESS:
STREET 1: 399 PARK AVENUE
STREET 2: 18TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HESS DEBRA ANN
CENTRAL INDEX KEY: 0001245523
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37980
FILM NUMBER: 17526281
MAIL ADDRESS:
STREET 1: C/O NORTHSTAR REALTY FINANCE CORP.
STREET 2: 399 PARK AVENUE, 18TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
4
1
t1700112_x3.xml
OWNERSHIP DOCUMENT
X0306
4
2017-01-10
1
0001679688
Colony NorthStar, Inc.
CLNS
0001245523
HESS DEBRA ANN
C/O COLONY NORTHSTAR, INC.
399 PARK AVENUE, 18TH FLOOR
NEW YORK
NY
10022
0
1
0
0
Principal Financial Officer
Class A Common Stock
2017-01-10
4
A
0
206642
A
630452
D
This Form 4 is being filed solely to reflect the merger steps occurring among NorthStar Asset Management Group Inc. ("NSAM") and NorthStar Realty Finance Corp. ("NRF") and their respective subsidiaries immediately prior to the merger with Colony Capital, Inc. ("Colony") on January 10, 2017. Upon completion of the mergers with Colony NorthStar, Inc. ("CLNS"), the reporting person ceased to be an officer of CLNS for purposes of Section 16 of the Securities Exchange Act of 1934, as amended.
Represents shares of Class A Common Stock of CLNS acquired by the reporting person pursuant to the merger of New Sirius Inc. ("New NRF") with CLNS (the "NRF Merger"), which occurred shortly prior to the merger of Colony into CLNS, but after the merger of NSAM into CLNS in a redomestication merger and reorganization transactions involving NRF pursuant to which NRF became a wholly owned subsidiary of New NRF (the "NRF Reorganization").
The shares of Class A Common Stock of CLNS were acquired pursuant to the NRF Merger in exchange for shares of common stock of New NRF at a ratio of 1.0996 shares of Class A Common Stock of CLNS for each share of New NRF common stock. The market value of the shares of New NRF common stock on the date of the NRF Merger was $16.13 per share based on the reported closing sale price of the NRF common stock on such date. Prior to the NRF Merger, all outstanding shares of NRF common stock were automatically converted into an equal number of shares of New NRF common stock pursuant to the NRF Reorganization.
/s/ Debra A. Hess
2017-01-12