-----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, UwepF+pc2E4ySOo8p9q/jpB12KZWRbkzyS821NVhQsdVRl2Qwz6Zy2ADaraBqTcM j17dvvA329NHymFsid3KDg== 0001216415-04-000001.txt : 20040213 0001216415-04-000001.hdr.sgml : 20040213 20040213104721 ACCESSION NUMBER: 0001216415-04-000001 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031231 FILED AS OF DATE: 20040213 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: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-15291 FILM NUMBER: 04595533 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 5 1 primary_doc.xml PRIMARY DOCUMENT X0201 5 2003-12-31 0 0 0 0000778423 ARLINGTON HOSPITALITY INC HOST 0001216415 LAFLAMME GERALD T 2355 S ARLINGTON HEIGHTS RD STE 400 ARLIGTON HEIGHTS IL 60005 1 0 0 0 Common Stock 2003-04-29 5 P 0 480 3.25 A 7480 D Options to purchase common stock Common Stock 1000 1000 D Consists of 6000 restricted shares held directly by the reporting person and 1480 shares held by the LaFlamme Family Trust dated January 14, 1988. Options issued on 8/16/2002 Gerald T. LaFlamme 2003-02-13 -----END PRIVACY-ENHANCED MESSAGE-----