0001140361-16-082204.txt : 20161006
0001140361-16-082204.hdr.sgml : 20161006
20161006213753
ACCESSION NUMBER: 0001140361-16-082204
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161006
FILED AS OF DATE: 20161006
DATE AS OF CHANGE: 20161006
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: Rahm William D.
CENTRAL INDEX KEY: 0001587633
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36190
FILM NUMBER: 161925940
MAIL ADDRESS:
STREET 1: C/O CENTERBRIDGE PARTNERS, L.P.
STREET 2: 375 PARK AVENUE, 12TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10152
4
1
doc1.xml
FORM 4
X0306
4
2016-10-06
0
0001581164
Extended Stay America, Inc.
STAY
0001587633
Rahm William D.
C/O EXTENDED STAY AMERICA, INC.
11525 N. COMMUNITY HOUSE ROAD, SUITE 100
CHARLOTTE
NC
28277
1
0
0
0
Paired Shares
2016-10-06
4
J
0
5547
0.00
A
5547
D
Paired Shares
2016-10-06
5
G
0
5547
0.00
D
0
D
A Form 4 reflecting the holdings of Paired Shares by the Reporting Persons shown on this Form 4 has been concurrently filed with respect to ESH Hospitality, Inc. as issuer.
Represents acquisition of investment control over Paired Shares as a result of an in-kind distribution by CCP GP Investor Holdings (Cayman), L.P. ("CCPGP") to the Reporting Person in connection with a pro rata distribution by CCPGP to its members. CCPGP received the Paired Shares in an in-kind distribution by Centerbridge Associates, L.P. ("CALP") to CCPGP in connection with a distribution by CALP to its sole economic partner. CALP received the Paired Shares in in-kind distributions by Centerbridge Capital Partners AIV VI-A, L.P. ("VI-A"), Centerbridge Capital Partners AIV VI-B, L.P. ("VI-B") and Centerbridge Capital Partners Strategic AIV I, L.P. ("SAIV") in connection with pro rata distributions by VI-A, VI-B and SAIV to their partners.
Represents charitable donation by the Reporting Person of Paired Shares received in connection with the in-kind distributions described in footnote 2.
Mr. Rahm is a member of the board of directors of the Issuer and an executive of Centerbridge Partners, L.P. ("Centerbridge"), certain of whose affiliates may be deemed to beneficially own securities of the Issuer. Mr. Rahm disclaims beneficial ownership of any securities of the Issuer that may be deemed to be beneficially owned by affiliates of Centerbridge, except as reported herein.
/s/ William D. Rahm
2016-10-06