-----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, U80NIUFxV50ogZRc1DcyIWH/itWGiKusJpHeKknaREJfXMrKFpOIFxMBtjou3Lsw +ADHSYvAWfrmyuMFx0KS8A== 0001216412-03-000001.txt : 20031112 0001216412-03-000001.hdr.sgml : 20031111 20031112110755 ACCESSION NUMBER: 0001216412-03-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031110 FILED AS OF DATE: 20031112 ISSUER: 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 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: AMERIHOST PROPERTIES INC DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: AMERICA POP INC DATE OF NAME CHANGE: 19871111 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DAYAN SALOMON J CENTRAL INDEX KEY: 0001216412 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-15291 FILM NUMBER: 03991662 BUSINESS ADDRESS: STREET 1: ARLINGTON HOSPITALITY INC STREET 2: 2355 S ARLINGTON HEIGHTS RD CITY: ARLINGTON HEGHTS STATE: IL ZIP: 60005 BUSINESS PHONE: 8472285400 MAIL ADDRESS: STREET 1: 2355 S ARLINGTON HEIGHTS RD STE 400 CITY: ARLIGTON HEIGHTS STATE: IL ZIP: 60005 4 1 primary_doc.xml PRIMARY DOCUMENT X0201 4 2003-11-10 0 0000778423 ARLINGTON HOSPITALITY INC HOST 0001216412 DAYAN SALOMON J 2627 WEST CERMAK ROAD CHICAGO IL 60608 1 0 0 0 Common Stock 2003-11-10 4 A 0 6000 0 A 10000 D Table I, Items 3 and 4 - Grant of restricted stock pursuant to 2003 Non-Employee Director Restricted Stock Plan. Reporting person owns a total of 310,812 shares of registrant's common stock, consisting of 10,000 shares held directly, 6,000 of which are restricted, 228,812 shares held by Salomon J. Dayan UTD 11/08/78, and 72,000 shares issuable upon the exercise of options. Salomon J. Dayan 2003-11-12 -----END PRIVACY-ENHANCED MESSAGE-----