0000899243-17-024428.txt : 20171018 0000899243-17-024428.hdr.sgml : 20171018 20171018180239 ACCESSION NUMBER: 0000899243-17-024428 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171016 FILED AS OF DATE: 20171018 DATE AS OF CHANGE: 20171018 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Fosheim Jon A CENTRAL INDEX KEY: 0001628418 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37980 FILM NUMBER: 171143324 MAIL ADDRESS: STREET 1: C/O COLONY NORTHSTAR, INC STREET 2: 515 S. FLOWER ST., 44TH FLOOR CITY: LOS ANGELES STATE: CA ZIP: 90071 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Colony NorthStar, Inc. CENTRAL INDEX KEY: 0001679688 STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798] IRS NUMBER: 464591526 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 515 SOUTH FLOWER STREET STREET 2: 44TH FLOOR CITY: LOS ANGELES STATE: CA ZIP: 90071 BUSINESS PHONE: 310-282-8820 MAIL ADDRESS: STREET 1: 515 SOUTH FLOWER STREET STREET 2: 44TH FLOOR CITY: LOS ANGELES STATE: CA ZIP: 90071 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-10-16 0 0001679688 Colony NorthStar, Inc. CLNS 0001628418 Fosheim Jon A C/O COLONY NORTHSTAR, INC. 515 S. FLOWER ST., 44TH FLOOR LOS ANGELES CA 90071 1 0 0 0 Deferred Stock 2017-10-16 4 A 0 2299 12.51 A Class A Common Stock 2299 16663 D Deferred Stock 2017-10-16 4 J 0 311 12.51 A Class A Common Stock 311 16974 D Represents the receipt of deferred stock units ("Deferred Stock") granted by the Issuer in respect of the reporting person's election to defer cash compensation payable in accordance with the Issuer's non-executive director compensation policy. Deferred Stock has no expiration date and is payable in Class A Common Stock after the reporting person's separation from service with the Issuer. Represents Deferred Stock granted pursuant to dividend equivalent rights on previously awarded Deferred Stock. /s/ David A. Palame, as Attorney-in-fact 2017-10-18