-----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, IOz2C0W9gwRf9RI59iaX9B6vn0vZY4HY56/j3LsXMs4KuBoPdsShlZCpK7tJOqst f7Jc24nUkog2ZiKQ5zhp9w== 0001216419-04-000002.txt : 20040907 0001216419-04-000002.hdr.sgml : 20040906 20040907173843 ACCESSION NUMBER: 0001216419-04-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040902 FILED AS OF DATE: 20040907 DATE AS OF CHANGE: 20040907 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: SHAPIRO ANDREW E CENTRAL INDEX KEY: 0001230344 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-15291 FILM NUMBER: 041019265 BUSINESS ADDRESS: STREET 1: ARLINGTON HOSPITALITY INC STREET 2: 2355 S ARLINGTON HEIGHTS RD STE 400 CITY: ARLINGTON HEIGHTGS STATE: IL ZIP: 60006 BUSINESS PHONE: 8472285400 MAIL ADDRESS: STREET 1: 2355 S ARLINGTON HEIGHTS RD STE 400 CITY: ARLLINGTON HEIGHTS STATE: IL ZIP: 60005 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2004-09-02 0 0000778423 ARLINGTON HOSPITALITY INC HOST 0001230344 SHAPIRO ANDREW E 2355 S ARLINGTON HEIGHTS RD STE 400 ARLLINGTON HEIGHTS IL 60005 1 0 0 0 Common stock 2004-09-02 4 A 0 7500 0 A 503700 D Grant of restricted stock pursuant to 2003 Non-Employee Director Restricted Stock Plan Includes 488,700 shares of common stock owned by investment limited partnerships of which the reporting person is Manager of the General Partner and Investment Advisor. The reporting person has only a pro rata interst in the securities with respect to which indirect beneficial ownership is reported and disclaims beneficial ownership in such securities except to the extent of such person's pecuniary interest. The reporting person disclaims membership in a group with any other person within the meaning of Section 13(d) and Section 16 of the Securities Exchange Act of 1934. Andrew E. Shapiro 2004-09-07 -----END PRIVACY-ENHANCED MESSAGE-----