-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, GmDDjOWisAmOz9TrvXBuZzqxq2jxKYM+M0dk01gsfgTEQ1VDENCD3qo2HYqzw2VY HJvzUUjcCPHIkDfOdnn6yQ== 0000914760-97-000159.txt : 19970912 0000914760-97-000159.hdr.sgml : 19970911 ACCESSION NUMBER: 0000914760-97-000159 CONFORMED SUBMISSION TYPE: SC 13D PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970828 SROS: NONE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: AMERIHOST PROPERTIES INC CENTRAL INDEX KEY: 0000778423 STANDARD INDUSTRIAL CLASSIFICATION: HOTELS & MOTELS [7011] IRS NUMBER: 363312434 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D SEC ACT: SEC FILE NUMBER: 005-42259 FILM NUMBER: 97671601 BUSINESS ADDRESS: STREET 1: 2400 E DEVON AVE STE 280 CITY: DES PLAINES STATE: IL ZIP: 60018 BUSINESS PHONE: 7082984500 MAIL ADDRESS: STREET 1: 2400 E DEVON AVE STREET 2: SUITE 280 CITY: DES PLAINES STATE: IL ZIP: 60018 FORMER COMPANY: FORMER CONFORMED NAME: AMERICA POP INC DATE OF NAME CHANGE: 19871111 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: DAYAN RAYMOND CENTRAL INDEX KEY: 0001045129 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13D BUSINESS ADDRESS: STREET 1: 1000 LAKE SHORE PLAZA APT 10B CITY: CHICAGO STATE: IL ZIP: 60611 BUSINESS PHONE: 3127511325 MAIL ADDRESS: STREET 1: 1000 LAKE SHORE PLAZA APT 10B CITY: CHICAGO STATE: IL ZIP: 60611 SC 13D 1 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13D Under the Securities Exchange Act of 1934 (Amendment No. ___) Amerihost Properties, Inc. (Name of Issuer) Common Stock (Title of Class of Securities) 03070-D-209 (CUSIP Number) Raymond Dayan 1000 Lake Shore Plaza Chicago, Illinois 60611 (312) 751-1325 (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) January 1997 (Date of Event which Requires Filing of this Statement) If the filing person has previously filed a statement on Schedule 13G to report the acquisition which is the subject of this Schedule 13D, and is filing this schedule because of Rule 13d-1(b)(3) or (4), check the following box / /. Note: Six copies of this statement, including all exhibits, should be filed with the Commission. See Rule 13d-1(a) for other parties to whom copies are to be sent. *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page. The information required on the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act. (however, see the Notes). SCHEDULE 13D CUSIP No. Page 2 of 03070-D-209 6 Pages 1 NAMES OF REPORTING PERSONS S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS Raymond Dayan 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) X (b) // 3 SEC USE ONLY 4 SOURCE OF FUNDS* PF 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS PURSUANT TO ITEMS 2(d) or 2(e) // 6 CITIZENSHIP OF PLACE OF ORGANIZATION United States NUMBER OF SHARES 7 SOLE VOTING POWER BENEFICIALLY OWNED 73,775 BY EACH 8 SHARED VOTING POWER REPORTING PERSON -0- WITH 9 SOLE DISPOSITIVE POWER 73,775 1 SHARED DISPOSITIVE POWER 0 -0- 1 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING 1 PERSON 73,775 1 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW(11) 2 EXCLUDES CERTAIN SHARES* 1 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 3 1.2% 1 TYPE OF REPORTING PERSON* 4 IN *SEE INSTRUCTIONS BEFORE FILLING OUT! INCLUDE BOTH SIDES OF THE COVER PAGE, RESPONSES TO ITEMS 1-7 (INCLUDING EXHIBITS) OF THE SCHEDULE, AND THE SIGNATURE ATTESTATION. SCHEDULE 13D CUSIP No. Page 3 of 03070-D-209 6 Pages 1 NAMES OF REPORTING PERSONS S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS Liliane R. Dayan 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) X (b) // 3 SEC USE ONLY 4 SOURCE OF FUNDS* PF 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS PURSUANT TO ITEMS 2(d) or 2(e) // 6 CITIZENSHIP OF PLACE OF ORGANIZATION United States NUMBER OF SHARES 7 SOLE VOTING POWER BENEFICIALLY OWNED 290,999 BY EACH 8 SHARED VOTING POWER REPORTING PERSON -0- WITH 9 SOLE DISPOSITIVE POWER 290,999 10 SHARED DISPOSITIVE POWER -0- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 290,999 12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW(11) EXCLUDES CERTAIN SHARES* 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 4.6% 14 TYPE OF REPORTING PERSON* IN *SEE INSTRUCTIONS BEFORE FILLING OUT! INCLUDE BOTH SIDES OF THE COVER PAGE, RESPONSES TO ITEMS 1-7 (INCLUDING EXHIBITS) OF THE SCHEDULE, AND THE SIGNATURE ATTESTATION. Item 1. Security and Issuer. Common Stock, par value $0.005 per share Amerihost Properties, Inc. ("Amerihost") 2400 East Devon Avenue, Suite 280 Des Plaines, Illinois 60018 Item 2. Identity and Background. (a) Name: Raymond Dayan Liliane R. Dayan (b) Residence Address: 1000 Lake Shore Plaza Chicago, Illinois 60611 (c) Mr. and Mrs. Dayan are private investors. (d) During the past five years, neither Mr. Dayan nor Mrs. Dayan has been convicted in a criminal proceeding (excluding traffic violations and similar misdemeanors). (e) During the last five years, neither Mr. Dayan nor Mrs. Dayan has been a party to a civil proceeding of a judicial or administrative body of competent jurisdiction as a result of which proceeding Mr. Dayan or Mrs. Dayan was or is subject to (i) a judgment, decree or final order enjoining future violations of, or prohibiting or mandating activities subject to, federal or state securities laws or (ii) a finding of any violation with respect to such laws. (f) Mr. Dayan and Mrs. Dayan are both citizens of the United States of America. Item 3. Source and Amount of Funds or Other Considerations. Mr. and Mrs. Dayan have, directly and indirectly, invested in joint ventures with Amerihost for the purpose of constructing or acquiring hotels. All of the shares reported as beneficially owned by Liliane Dayan in Item 5 were acquired as distributions from (using shares obtained by the joint ventures as part of lease arrangements) or as part of an investment in such joint ventures. Such investments were made using personal funds of the Dayans. The shares reported as beneficially owned by Raymond Dayan in Item 5 were acquired during the period July 1989 - January 1995, through open market or direct purchases, note conversions, warrant exercises or in connection with mortgages extended to Amerihost or a subsidiary or affiliate of Amerihost. Item 4. Purpose of Transaction. Mr. Dayan and Mrs. Dayan acquired their shares of common stock, and the securities exercisable or convertible into shares of common stock for investment purposes. Neither Mr. Dayan nor Mrs. Dayan presently has any plans regarding an extraordinary corporate transaction, such as a merger, reorganization or liquidation, involving the Company or a sale or transfer of a material amount of assets of the Company or any of its subsidiaries. Both Mr. Dayan and Mrs. Dayan reserve the right to acquire additional shares of Common Stock, to dispose of shares of Common Stock or to formulate other purposes, plans or proposals deemed advisable regarding the Company. Item 5. Interest in Securities of the Issuer. (a) and (b) Raymond Dayan: Through his living trust, Mr. Dayan beneficially owns 73,775 shares of Common Stock of Amerihost, which represents 1.2% of the outstanding shares of Common Stock of Amerihost. Included in these shares are options to acquire 11,800 shares. Mr. Dayan has the sole power to vote and dispose of such shares. Liliane R. Dayan: Through her living trust, Liliane Dayan beneficially owns 19,788 (0.3% of the outstanding shares) of Common Stock of Amerihost. As trustee of the Deborah Dayan Trust dated January 17, 1995, Liliane Dayan beneficially owns 90,211 shares (1.4% of the outstanding shares) of Common Stock of Amerihost (1.4% of the outstanding shares), which includes options and rights to acquire 51,558 shares. As trustee of the Brigitte Dayan Trust dated March 24, 1993, Liliane Dayan beneficially owns 90,211 shares of Common Stock of Amerihost (1.4% of the outstanding shares), which includes options and rights to acquire 51,558 shares. As trustee of the Yael Dayan Trust dated March 24, 1993, Liliane Dayan beneficially owns 90,789 shares (1.4% of the outstanding shares) of Common Stock of Amerihost, including options and rights to acquire 51,588 shares. Liliane Dayan has sole power to vote and dispose of such shares. (c) No transactions during the past sixty days. (d) Not applicable. (e) Not applicable. Item 6. Contracts, Arrangements, Understanding or Relationships with Respect to Securities of the Issuer. None. Item 7. Material to be filed as Exhibits. None. Signature After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. August 25, 1997 /s/ Raymond Dayan Raymond Dayan /s/ L.R. Dayan Liliane R. Dayan -----END PRIVACY-ENHANCED MESSAGE-----