0001140361-14-043818.txt : 20141201 0001140361-14-043818.hdr.sgml : 20141201 20141201171340 ACCESSION NUMBER: 0001140361-14-043818 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20141126 FILED AS OF DATE: 20141201 DATE AS OF CHANGE: 20141201 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: Kussell William A CENTRAL INDEX KEY: 0001518338 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36190 FILM NUMBER: 141258471 MAIL ADDRESS: STREET 1: C/O ADVENT INTERNATIONAL CORPORATION STREET 2: 75 STATE STREET 29TH FLOOR CITY: BOSTON STATE: MA ZIP: 02109 4 1 doc1.xml FORM 4 X0306 4 2014-11-26 0 0001581164 Extended Stay America, Inc. STAY 0001518338 Kussell William A C/O EXTENDED STAY AMERICA, INC. 11525 N. COMMUNITY HOUSE ROAD, SUITE 100 CHARLOTTE NC 28277 1 0 0 0 Paired Shares 2014-11-26 4 S 0 15960 18.6279 D 84863 D 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. /s/ William A. Kussell 2014-12-01