4 1 0001.txt FORM 4 FOR CHARLES N. MATHEWSON F O R M 4 U.S. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 [ ] Check this box if OMB APPROVAL no longer subject OMB Number 3235-0287 to Section 16 Expires: September 30, 1998 Estimated ave. burden hours per response _____ 0.5 Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or 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) Mathewson Charles N. 03/2001 X Director 10% Owner --------------------------------------- ----------------------- ----------------- --- --- (Last) (First) (MI) 3.IRS or Soc.Sec.No. 4.Statement for Officer Other of Reporting Person Month/Year --- --- (Voluntary) (give title below)(specify below) 545 E. John Carpenter Frwy., Suite 1300 --------------------------------------------------------- ---------------- ------------------------------------ (Street) 5. If Amendment, 7. Individual or Joint/Group Date of Original Filing (Check Applicable Line) (Month/Year) Irving TX 75062-0000 -------------------------------------------------------- (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) Code V Amount (D) Price Common Stock 03/01/00 A(1) V 1,500 A $0 ----------------------------------------- ------------------- ------- ----- ---------------- ---- --------- ----------------------------------------- ------------------- ------- ----- ---------------- ---- --------- ----------------------------------------- ------------------- ------- ----- ---------------- ---- --------- ----------------------------------------- ------------------- ------- ----- ---------------- ---- --------- ----------------------------------------- ------------------- ------- ----- ---------------- ---- ---------
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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 of Month Indirect (I) (Inst. 4) (Inst. 3 & 4) 679,200 D --------------------------------------- ------------------------------ -------------------------------- --------------------------------------- ------------------------------ -------------------------------- --------------------------------------- ------------------------------ -------------------------------- --------------------------------------- ------------------------------ -------------------------------- --------------------------------------- ------------------------------ --------------------------------
Reminder: Report on a separate line for each class securities owned directly or indirectly. *If the form is filed by more than one reporting person, see Instruction 4(b)(v). 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 Convertible Securities ------------------------------------------ -------------------- ---------------- ----------------------- ------------------------------------------ -------------------- ---------------- ----------------------- ------------------------------------------ -------------------- ---------------- ----------------------- ------------------------------------------ -------------------- ---------------- ----------------------- ------------------------------------------ -------------------- ---------------- -----------------------
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) 407,524 (2) I By Trusts ----------------------- ----------------------------------- -------------------------- -------------------------- ----------------------- ----------------------------------- -------------------------- -------------------------- ----------------------- ----------------------------------- -------------------------- -------------------------- ----------------------- ----------------------------------- -------------------------- -------------------------- ----------------------- ----------------------------------- -------------------------- --------------------------
Page 3 of 4 Explanation of Responses: (1) Stock grant under Restricted Stock and Stock Option Plan; fully vested upon issuance; issued in lieu of cash compensation for service as a director. (2) Reported solely to reflect a change in the nature of Mr. Mathewson's indirect beneficial ownership. Includes 326,019 units of limited partnership interest in FelCor Lodging Limited Partnership ("Units") distributed to the Charles N. Mathewson Retained Annuity Trust, and 81,505 Units distributed to a retained annuity trust for the benefit of Mr. Mathewson's spouse, by partnerships in which Mr. Mathewson previously held an interest. Mr. Mathewson previously reported beneficial ownership of 540,009 Units, which represented an estimate of his pecuniary interest in the Units held by such partnerships. Each Unit is redeemable for one share of FelCor Lodging Trust Incorporated Common Stock or, at the option of FelCor, for cash.
/s/ Charles N. Mathewson 04/06/01 **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
Potential persons who are to respond to the collections of information contained in this form are not required to respond unless the form displays a currently valid OMD Number. Page 4 of 4