-----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, Otm0sClNu0zzWT0B+2yJxpSjvKwkdswmt3wkSlHoyK6KV9ml8Qwbo2GLb/yyam5H mBaasjEsxQPff2LlsINZDw== 0001046311-97-000012.txt : 19971029 0001046311-97-000012.hdr.sgml : 19971029 ACCESSION NUMBER: 0001046311-97-000012 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19971015 FILED AS OF DATE: 19971028 SROS: NYSE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CHOICE HOTELS INTERNATIONAL INC/ CENTRAL INDEX KEY: 0001046311 STANDARD INDUSTRIAL CLASSIFICATION: HOTELS & MOTELS [7011] IRS NUMBER: 521209792 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: SEC FILE NUMBER: 001-13393 FILM NUMBER: 97701872 BUSINESS ADDRESS: STREET 1: 10750 COLUMBIA PIKE CITY: SILVER SPRING STATE: MD ZIP: 20901 BUSINESS PHONE: 3019795000 MAIL ADDRESS: STREET 1: 10750 COLUMBIA PIKE CITY: SILVER SPRING STATE: MD ZIP: 20901 COMPANY DATA: COMPANY CONFORMED NAME: BAINUM STEWART/ CENTRAL INDEX KEY: 0000903871 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR IRS NUMBER: 213445874 FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: C/O MANOR CARE INC STREET 2: 11555 DARNESTOWN ROAD CITY: GAITHERSBURG STATE: MD ZIP: 20878 BUSINESS PHONE: 3019794400 MAIL ADDRESS: STREET 1: 11555 DARNESTOWN ROAD CITY: GAITHERSBURG STATE: MD ZIP: 20878 FORMER COMPANY: FORMER CONFORMED NAME: BAINUM STEWART DATE OF NAME CHANGE: 19930506 3 1 FORM 3 - 10/15/97 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 3 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 1. Name and Address of Reporting Person Bainum, Stewart 10750 Columbia Pike Silver Spring, MD 20901 2. Date of Event Requiring Statement (Month/Day/Year) 10/15/97 3. IRS or Social Security Number of Reporting Person (Voluntary) ###-##-#### 4. Issuer Name and Ticker or Trading Symbol Choice Hotels International, Inc. (formerly Choice Hotels Franchising, Inc.) CHH 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) (X) Director (X) 10% Owner ( ) Officer (give title below) ( ) Other (specify below) 6. If Amendment, Date of Original (Month/Day/Year) 7. Individual or Joint/Group Filing (Check Applicable Line) (X) Form filed by One Reporting Person ( ) Form filed by More than One Reporting Person
___________________________________________________________________________________________________________________________________ Table I -- Non-Derivative Securities Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1. Title of Security |2. Amount of |3. Ownership |4. Nature of Indirect | | Securities | Form: | Beneficial Ownership | | Beneficially | Direct(D) or | | | Owned | Indirect(I) | | ___________________________________________________________________________________________________________________________________| Common Stock |3,906,278 |I |Note 1 | - -----------------------------------------------------------------------------------------------------------------------------------| " " |101,012 |I |Note 2 | - -----------------------------------------------------------------------------------------------------------------------------------| " " |798,711 |I |Note 3 | - -----------------------------------------------------------------------------------------------------------------------------------| " " |867,626 |I |Note 4 | - -----------------------------------------------------------------------------------------------------------------------------------| " " |1,032,376 |I |Note 5 | - -----------------------------------------------------------------------------------------------------------------------------------| " " |157,084 |I |Note 6 | - -----------------------------------------------------------------------------------------------------------------------------------| " " |4,724 |D |Note 7 | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________| ___________________________________________________________________________________________________________________________________ Table II -- Derivative Securitites Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1.Title of Derivative |2.Date Exer- |3.Title and Amount | |4. Conver-|5. Owner- |6. Nature of Indirect | Security | cisable and | of Underlying | |sion or |ship | Beneficial Ownership | | Expiration | Securities | |exercise |Form of | | | Date(Month/ |-----------------------|---------|price of |Deriv- | | | Day/Year) | |Amount |deri- |ative | | | Date | Expira- | |or |vative |Security: | | | Exer- | tion | Title |Number of|Security |Direct(D) or | | | cisable | Date | |Shares | |Indirect(I) | | ___________________________________________________________________________________________________________________________________| Note 8 | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________|
Explanation of Responses: Note 1: Owned by the Stewart Bainum Declaration of Trust dated May 23, 1995 (the "SB Trust"), the sole trustee of which is Mr. Bainum. Note 2: The proportionate interest of the SB Trust (500 shares) and the Jane L. Bainum Declaration of Trust dated May 23, 1995 (the "JLB Trust") (512 shares) in shares (1,779,628) owned by Mid Pines Associates, L.P. in which each trust is a limited partner. Also includes the proportionate interest of the SB Trust and the JLB Trust in Edelblut Partners, L.P., which is a limited partner in Mid Pines Associates, L.P. (100,000) shares. Note 3: Shares owned by the JLB Trust, the sole trustee of which is Jane Bainum. Note 4: Liquidation preference (as of 10/15/97) of limited partnership interests of Mr. and Mrs. Bainum in Bainum Associates Limited Partnership. Note 5: Liquidation preference (as of 10/15/97) of limited partnership interests of Mr. and Mrs. Bainum in MC Investments Limited Partnership. Note 6: Represents the proportionate interests of shares owned by Realty Investment Company, Inc., a real estate investment and management company, of which the SB Trust and JLB Trust are shareholders. Note 7: Restricted stock granted under the Choice Hotels International, Inc. Non-Employee Director Stock Compensation Plan. Note 8: In connection with the spinoff of the Issuer from the former Choice Hotels International, Inc. (now known as Sunburst Hospitality Corporation) all of the Reporting Person's stock options have been converted into successor options of the Issuer and Sunburst. However, information on the conversion is not yet available. An amendment to this Form 3 will be filed as soon as such information is available.
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