-----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, DZZ7+TZS0Hsis5dZLSCBgoLz4syDYncwB1+Zs67TuCrpvqGcnw1tklCWJgsF/1aD /qtLLAGXWzCyj0xr52dWBA== 0001216415-03-000001.txt : 20031110 0001216415-03-000001.hdr.sgml : 20031110 20031110165336 ACCESSION NUMBER: 0001216415-03-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031110 FILED AS OF DATE: 20031110 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: LAFLAMME GERALD T CENTRAL INDEX KEY: 0001216415 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-15291 FILM NUMBER: 03988947 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 0001216415 LAFLAMME GERALD T C/O DAVIDSON COMMUNITIES, L.L.C. 1302 CAMINO DEL MAR DEL MAR CA 92014 1 0 0 0 Common Stock 2003-11-10 4 A 0 6000 0 A 6000 D Table 1, items 3 and 4 - Grant of restricted stock pursuant to 2003 Non-Employee Director Restricted Stock Plan Reporting person beneficially owns a total of 8,480 shares of registrants common stock, consisting of 6,000 restricted shares held directly, 1,480 shares held by the LaFlamme Family Trust dated January 14, 1988, and 1,000 shares issuable upon the exercise of options. Gerald T. LaFlamme 2003-11-10 -----END PRIVACY-ENHANCED MESSAGE-----