SC 13D 1 mph13d.txt MAIN DOCUMENT UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13D Under the Securities Exchange Act of 1934 (Amendment No. 4) Arlington Hospitality, Inc. (Name of Issuer) Common Stock (Title of Class of Securities) 03070-D-209 (CUSIP Number) Michael P. Holtz 490 East Route 22 North Barrington, IL 60010 (847) 277-0068 (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) June 16, 2003 (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 which is the subject of this Schedule 13D, and is filing this schedule because of ?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 ?240.13d-7(b) 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). SCHEDULE 13D 1 NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY) Michael P. Holtz 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) / / (b) / / 3 SEC USE ONLY 4 SOURCE OF FUNDS 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e) / / 6 CITIZENSHIP OR PLACE OF ORGANIZATION United States NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH 7. SOLE VOTING POWER 470,000 8. SHARED VOTING POWER -0- 9. SOLE DISPOSITIVE 470,000 10. SHARED DISPOSITIVE -0- 11. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 470,000 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) 9.3% 14. TYPE OF REPORTING PERSON (See Instructions) IN Item 1. Security and Issuer. Common Stock, par value $0.005 per share Arlington Hospitality, Inc. (?Arlington?) 2355 South Arlington Heights Road Suite 400 Arlington Heights, Illinois 60005 Item 2. Identity and Background. (a) Name: Michael P. Holtz (b) Business Address: 490 East Route 22 North Barrington, IL 60010 (c) Mr. Holtz?s principal occupation is being the president of MPH Hotels Inc., located at 490 East Route 22, North Barrington, IL 60010. (d) During the past five years, Mr. Holtz has not been convicted in a criminal proceeding (excluding traffic violations and similar misdemeanors). (e) During the last five years Mr. Holtz has not been a party to a civil proceeding of a judicial or administrative body of competent jurisdiction as a result of which proceeding Mr. Holtz was or is subject to a judgment, decree or final order enjoining future violations of, or prohibiting or mandating activities subject to, federal or state securities laws or finding any violation with respect to such laws. (f) Mr. Holtz is a citizen of the United States of America. Item 3. Source and Amount of Funds or Other Considerations. Mr. Holtz received all of the options as compensation for services rendered to Arlington. Item 4. Purpose of Transaction. The options were received by Mr. Holtz as compensation for services rendered to Arlington. Mr. Holtz presently does not have any definite 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. Mr. Holtz 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 available regarding the Company. Item 5. Interest in Securities of the Issuer. (a) Mr. Holtz beneficially owns 470,000 shares of Common Stock of Arlington through options to purchase 470,000 shares. (b) Mr. Holtz has sole voting power and sole dispositive powers with respect to all 470,000 shares of Common Stock he beneficially owns. (c) On June 16, 2003, Mr. Holtz sold 237,408 shares of Common Stock of Arlington (valued at $3.27 per share). (d) Not applicable. (e) Not applicable. Item 6. Contracts, Arrangements, Understanding or Relationships with Respect to Securities of the Issuer. Mr. Holtz is not a party to any contracts, arrangements, understandings or relationships with respect to securities of Arlington. 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. June 21, 2004 Michael P. Holtz CHI99 4314777-1.032381.0010 CHI99 3601030-2.032381.0010 CUSIP No. 03070-D-209