5 1 0001.txt FORM 5 FOR ANDREW J. WELCH FORM 5 U.S. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 [ ] Check this box if no longer subject ---------------------------- to Section 16. OMB APPROVAL Form 4 or Form 5 ---------------------------- obligations may OMB Number: 3325-0362 continue. See Expires: October 31, 2001 instruction 1(b) Estimated average burden [ ] Form 3 Holdings hours per response . . . 1.0 Reported ---------------------------- [ ] Form 4 Filed pursuant to Section 16(a) of the Securities Trans- Exchange Act of 1934, Section 17(a) of the Public actions Utility Holding Company Act of 1935 or Reported Section 30(f) of the Investment Company Act 1940 -------------------------------------------------------------------------------- 1.Name and Address of 2.Issuer Name and Ticker 6.Relationship of Reporting Reporting Person* or Trading Symbol Person to Issuer (check all Applicable) FelCor Lodging Trust Incorporated (FCH)
Welch Andrew J. 12/2000 Director 10% Owner --------------------------------------- ----------------------- ----------------- --- --- (Last) (First) (MI) 3.IRS or Soc.Sec.No. 4.Statement for X Officer Other of Reporting Person Month/Year --- --- (Voluntary) (give title below) (specify below) 545 E. John Carpenter Frwy., Suite 1300 Vice President and Treasurer --------------------------------------------------------- ---------------- ------------------------------------ (Street) 5. If Amendment, Date of Original 7.Individual or Joint/Group (Month/Year) Filing (Check Applicable Irving TX 75062-0000 Line) -------------------------------------------------------- (City) (State) (Zip) X Form filed by One --- Reporting Person Form filed by More --- than One Reporting Person
-------------------------------------------------------------------------------- Table I - Non-Derivative Securities Acquired, Disposed of or Beneficially Owned --------------------------------------------------------------------------------
1. Title of Security 2. Transaction 3. Transaction 4. Security Acquired (A) (Inst.3) Date Code or Disposed of (D) (Month/ (Instr.8) (Inst.3, 4 & 5) Day/Yr) --------------------------------------------------- (A) Amount (D) Price Common Stock 05/01/00 P 50.5952 (1) A $20.1875 --------------------------------------- ------------------- ------- ---------------- ---- --------- Common Stock 08/01/00 P 47.9643 (1) A $21.875 --------------------------------------- ------------------- ------- ---------------- ---- --------- Common Stock 11/01/00 P 49.173 (1) A $21.875 --------------------------------------- ------------------- ------- ---------------- ---- --------- --------------------------------------- ------------------- ------- ---------------- ---- --------- --------------------------------------- ------------------- ------- ---------------- ---- ---------
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5. Amount of Securities 6. Ownership Form 7. Nature of Indirect Beneficially Owned at Direct (D) or Beneficial Ownership at End Issuer's Fiscal Indirect (I) (Inst. 4) Year (Inst. 3 & 4) D --------------------------------------- ------------------------------ ----------------------------- D --------------------------------------- ------------------------------ ----------------------------- 28,004.8071 D --------------------------------------- ------------------------------ ----------------------------- --------------------------------------- ------------------------------ ----------------------------- --------------------------------------- ------------------------------ -----------------------------
*If form is filed by more than one reporting person, see Instruction 4(b)(v) Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. Page 2 of 4
-------------------------------------------------------------------------------- Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible security) -------------------------------------------------------------------------------- 1. Title of 2. Conversion 3. Transaction 4. Transaction Derivative or Exercise Date (Month Code Security Price of (Day/Year) (Instr. 8) (Instr.3) Derivative Security Code V ------------------------------------------ -------------------- ---------------- --------------- ------------------------------------------ -------------------- ---------------- --------------- ------------------------------------------ -------------------- ---------------- --------------- ------------------------------------------ -------------------- ---------------- --------------- ------------------------------------------ -------------------- ---------------- ---------------
5. Number of Derivative 6. Date Exercisable 7. Title & Amount of Securities Acquired & Expiration Date Underlying Securities (A) or Disposed of (D) (Mon./Day/Year) (Inst. 3 & 4) (Instr. 3, 4 & 5) ------------------------------------------------------------------------------------------------------------------- (A) (D) Date Expiration Title Amount or number Exercisable Date of Shares ----------------- ----------------- ------------ -------------- -------------- ----------------- ----------------- ----------------- ------------ ------------- -------------- ----------------- ----------------- ----------------- ------------ ------------- -------------- ----------------- ----------------- ----------------- ------------ ------------- -------------- ----------------- ----------------- ----------------- ------------ ------------- -------------- -----------------
8. Price of Derivative 9. Number of Derivative Securities 10. Ownership Form of 11. Nature of Indirect Security (Inst.5) Beneficially Owned at end of Derivative Security Beneficial Month (Instr. 4) Direct (D) or Ownership (Instr.4) Indirect (I) (Instr.4) ----------------------- ----------------------------------- -------------------------- ------------------------ ----------------------- ----------------------------------- -------------------------- ------------------------ ----------------------- ----------------------------------- -------------------------- ------------------------ ----------------------- ----------------------------------- -------------------------- ------------------------ ----------------------- ----------------------------------- -------------------------- ------------------------ Explanation of Responses: (1) Represents shares purchased pursuant to brokerage account dividend reinvestment program.
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/s/ Andrew J. Welch 01/08/01 **Intentional misstatements or omissions of facts constitute Federal ------------------------------------------ Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). **Signature of Reporting Person Date
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