0001225208-13-000845.txt : 20130104 0001225208-13-000845.hdr.sgml : 20130104 20130104165004 ACCESSION NUMBER: 0001225208-13-000845 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121221 FILED AS OF DATE: 20130104 DATE AS OF CHANGE: 20130104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DUCHOSSOIS RICHARD L CENTRAL INDEX KEY: 0000923231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33998 FILM NUMBER: 13512539 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CHURCHILL DOWNS INC CENTRAL INDEX KEY: 0000020212 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-RACING, INCLUDING TRACK OPERATION [7948] IRS NUMBER: 610156015 STATE OF INCORPORATION: KY FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 600 N. HURSTBOURNE PKWY STREET 2: SUITE 400 CITY: LOUIVILLE STATE: KY ZIP: 40222 BUSINESS PHONE: 5026364400 MAIL ADDRESS: STREET 1: 600 N. HURSTBOURNE PKWY STREET 2: SUITE 400 CITY: LOUIVILLE STATE: KY ZIP: 40222 4 1 doc4.xml X0306 4 2012-12-21 0000020212 CHURCHILL DOWNS INC CHDN 0000923231 DUCHOSSOIS RICHARD L ARLINGTON INTERNATIONAL RACECOURSE POST OFFICE BOX 7 ARLINGTON HEIGHTS IL 60006 1 Phantom Stock 2012-12-21 4 A 0 27.7870 64.0900 A Common Stock 27.7870 2501.1720 D Dividend payment (on deferred compensation) in the form of restricted units entitling the recipient to the future issuance of an equivalent number of shares of Common Stock. Generally this stock does not have a conversion price, exercisable date or an expiration date. Sarah Hester, Attorney in Fact for Richard L. Duchossois 2013-01-04