-----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, PwamR6W85cKah8q3dgM5XPUwz3IIi/bPe1RNz4h9fNyYmN15LcjxkH5mq8mBpbCg t7qEZS23hpKy3Jw/MdNgWw== 0000950137-02-003675.txt : 20020617 0000950137-02-003675.hdr.sgml : 20020617 20020617130644 ACCESSION NUMBER: 0000950137-02-003675 CONFORMED SUBMISSION TYPE: SC 13D/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20020617 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: ARLINGTON HOSPITALITY 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/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-42259 FILM NUMBER: 02680382 BUSINESS ADDRESS: STREET 1: 2355 SOUTH ARLINGTON HEIGHTS ROAD STREET 2: SUITE 400 CITY: ARLINGTON HEIGHTS STATE: IL ZIP: 60005 BUSINESS PHONE: 8472285400 MAIL ADDRESS: STREET 1: 2355 SOUTH ARLINGTON HEIGHTS ROAD STREET 2: SUITE 400 CITY: ARLINGTON HEIGHTS STATE: IL ZIP: 60005 FORMER COMPANY: FORMER CONFORMED NAME: AMERICA POP INC DATE OF NAME CHANGE: 19871111 FORMER COMPANY: FORMER CONFORMED NAME: AMERIHOST PROPERTIES INC DATE OF NAME CHANGE: 19920703 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: DAYAN RAYMOND CENTRAL INDEX KEY: 0001045129 FILING VALUES: FORM TYPE: SC 13D/A 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/A 1 c70114a2sc13dza.txt STATEMENT OF ACQUISITION OF BENEFICIAL OWNERSHIP SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 SCHEDULE 13D Under the Securities Exchange Act of 1934 (Amendment No. 2)* Arlington Hospitality, Inc. - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock - -------------------------------------------------------------------------------- (Title of Class of Securities) 03070-D-209 - -------------------------------------------------------------------------------- (CUSIP Number) Liliane R. Dayan 1000 Lake Shore Plaza Chicago, Illinois 60611 (312)-751-1325 - -------------------------------------------------------------------------------- (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) May 10, 2002 - -------------------------------------------------------------------------------- (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 that is the subject of this Schedule 13D, and is filing this schedule because of Sections 240.13d-1(e), 240.13d-1(f) or 240.13d-1(g), check the following box / /. Note: Schedules filed in paper format shall include a signed original and five copies of the schedule, including all exhibits. See Section 240.13d-7 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). CUSIP NO. 03070-D-209 - -------------------------------------------------------------------------------- 1 NAMES OF REPORTING PERSONS/I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY) - -------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions) (a) [ ] (b) [ ] - -------------------------------------------------------------------------------- 3 SEC USE ONLY - -------------------------------------------------------------------------------- 4 SOURCE OF FUNDS (See Instructions) - -------------------------------------------------------------------------------- 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e) [ ] - -------------------------------------------------------------------------------- 6 CITIZENSHIP OR PLACE OF ORGANIZATION - -------------------------------------------------------------------------------- 7 SOLE VOTING POWER NUMBER OF 311,801 SHARES ----------------------------------------------------------------- 8 SHARED VOTING POWER BENEFICIALLY -0- OWNED BY EACH ----------------------------------------------------------------- 9 SOLE DISPOSITIVE POWER REPORTING 311,801 PERSON ----------------------------------------------------------------- 10 SHARED DISPOSITIVE POWER WITH -0- - -------------------------------------------------------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 311,801 - -------------------------------------------------------------------------------- 12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (See Instructions) [ ] - -------------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 6.3% - -------------------------------------------------------------------------------- 14 TYPE OF REPORTING PERSON (See Instructions) - -------------------------------------------------------------------------------- Item 1. Security and Issuer. Common Stock, par value $0.005 per share Amerihost Properties, Inc. d/b/a Arlington Hospitality, Inc. (the "Company") 2355 South Arlington Heights Road Suite 400 Arlington Heights, Illinois 60005 Item 2. Identity and Background. (a) Name: Liliane R. Dayan (b) Residence Address: 1000 Lake Shore Plaza Chicago, Illinois 60611 (c) Mrs. Dayan is a private investor. (d) During the past five years, Mrs. Dayan has not been convicted in a criminal proceeding (excluding traffic violations and similar misdemeanors). (e) During the last five years, Mrs. Dayan has not been a party to a civil proceeding of a judicial or administrative body of competent jurisdiction as a result of which proceeding 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) Mrs. Dayan is a citizen of the United States of America. Item 3. Source and Amount of Funds or Other Considerations. See Item 5(c) Item 4. Purpose of Transaction. Mrs. Dayan's reduction of ownership is a result of the termination of certain rights to acquire shares of Common Stock granted by the Company in connection with the termination of certain joint ventures pursuant to which she had acquired such rights. Mrs. Dayan does not presently have 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. Mrs. Dayan reserves 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) Through her living trust, Liliane Dayan beneficially owns 87,777 shares of Common Stock of the Company, which constitute 1.8% of the outstanding shares. As trustee of the Deborah Dayan Trust dated January 17, 1995, Liliane Dayan beneficially owns 73,650 shares of Common Stock of the Company, which constitute 1.50% of the outstanding shares. Included in these shares are rights to acquire 34,997 shares. As trustee of the Brigitte Dayan Trust dated March 24, 1993, Liliane Dayan beneficially owns 76,148 shares of Common Stock of the Company, which constitute 1.5% of the outstanding shares. Included in these shares are rights to acquire 34,995 shares. As trustee of the Yael Dayan Trust dated March 24, 1993, Liliane Dayan beneficially owns 74,226 shares of Common Stock of the Company, which constitute 1.5% of the outstanding shares. Included in these shares are rights to acquire 34,995 shares. Liliane Dayan has sole power to vote and dispose of all such shares. (c) On May 10, 2002, rights to purchase 13,854 shares of Common Stock of the company held by each of the Deborah Dayan Trust, the Brigitte Dayan Trust and the Yael Dayan Trust (rights for 41,562 shares in the aggregate) terminated as a result of the termination of certain joint ventures to which the Company was a party. Mrs. Dayan was not a party to any other transaction in Common Stock of the Company within the past sixty days. (d) Not applicable. (e) Not applicable. Item 6. Contracts, Arrangements, Understanding or Relationships with Respect to Securities of the Issuer. Mrs. Dayan is not a party to any contracts, arrangements, understandings or relationships with respect to the securities of the Company. 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. May 31, 2002 /s/ LILIANE R. DAYAN ------------------------------- Liliane R. Dayan -----END PRIVACY-ENHANCED MESSAGE-----