-----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, H9XDui7KnnL7Y9IanIg/JqSE3n435Rbr1gt4M6ZQlE5OT/OMlNX8f12PQTGBJADv EUAgJsY9h3yYxs7yBI0Z5w== 0000899078-99-000105.txt : 19990329 0000899078-99-000105.hdr.sgml : 19990329 ACCESSION NUMBER: 0000899078-99-000105 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19981231 FILED AS OF DATE: 19990326 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: FELCOR LODGING TRUST INC CENTRAL INDEX KEY: 0000923603 STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798] IRS NUMBER: 752541756 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 SEC ACT: SEC FILE NUMBER: 001-14236 FILM NUMBER: 99574708 BUSINESS ADDRESS: STREET 1: 545 E JOHN CARPENTER FREEWAY STREET 2: SUITE 1300 CITY: IRVING STATE: TX ZIP: 75062 BUSINESS PHONE: 9724444900 MAIL ADDRESS: STREET 1: 545 E JOHN CARPENTER FREEWAY STREET 2: SUITE 1300 CITY: IRVING STATE: TX ZIP: 75062 FORMER COMPANY: FORMER CONFORMED NAME: FELCOR SUITE HOTELS INC DATE OF NAME CHANGE: 19940523 COMPANY DATA: COMPANY CONFORMED NAME: CHURCHEY RANDALL L CENTRAL INDEX KEY: 0001061256 STANDARD INDUSTRIAL CLASSIFICATION: UNKNOWN SIC - 0000 [0000] OFFICER STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: 545 E JOHN CARPENTER FREEWAY STREET 2: STE 1300 CITY: IRVING STATE: TX ZIP: 75062-0000 5 1 FORM 5 FOR RANDALL L. CHURCHEY F O R M 5 U.S. SECURITIES AND EXCHANGE COMMISSION OMB APPROVAL Washington, D.C. 20549 OMB Number [ ] Check this box if Expires: no longer subject Estimated ave.burden to Section 16. Form 4 hours per response____ or Form 5 obligations may continue. See instruction 1(b). [ ] Form 3 Holdings Reported [X] Form 4 Filed pursuant to Section 16(a)of the Securities Exchange Transactions Act of 1934, Section 17(a) of the Public Utility Holding Reported Company Act of 1935 or Section 30(f) of the Investment Company Act 1940 - -------------------------------------------------------------------------------- 1.Name and Address 2.Issuer Name and Ticker 6.Relationship of Reporting of Reporting or Trading Symbol Person to Issuer (check all Person* Applicable) Felcor Lodging Trust Incorporated (FCH) -------------------- Churchey Randall L. 12/98 Director 10% Owner - ---------------------------- -------------- -------- --- --- (Last) (First) (MI) 3.IRS or Soc. 4.State- X Officer Other Sec.No. of ment --- --- Reporting for (Give title (specify Person Month/ below) below) (Voluntary) Year Senior Vice President, 1217 Westmont Drive Chief Financial Officer - --------------------------------------- and Treasurer (Street) -------- ----------------------- 5.If 7.Individual or Joint/ Amend- Group Filing (Check Southlake, Texas 76092 ment, Applicable Line) - ---------------------------------------- Date (City) (Street) (Zip) of X Form filed by One Original --- (Month/ Reporting Person Year) 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 (Inst.3) Date Code (A)or Disposed of (Month/ (Instr.8) (D) Day/Yr) (Inst.3, 4 & 5) --------------------------------- (A) Code V Amount (D) Price - ---------------------- ------------------ ------- ----- -------- ---- -------- Common Stock 11/02/1998 R 17.3325 A $23.8125 - ---------------------- ------------------ ------- ----- -------- ---- -------- Common Stock 11/02/1998 R 4.711 A 23.8125 - ---------------------- ------------------ ------- ----- -------- ---- -------- Common Stock 11/02/1998 R 2.8699 A 23.8125 - ---------------------- ------------------ ------- ----- -------- ---- -------- Common Stock 11/02/1998 R 44.16 A 23.8125 - ---------------------- ------------------ ------- ----- -------- ---- -------- 5. Amount of 6. Ownership Form 7. Nature of Indirect Securities Bene- Direct (D) or Beneficial Owner- ficially Owned Indirect (I) ship (Inst. 4) at End of (Instr. 4) Issuer's Fiscal Year (Inst. 3 & 4) - ----------------------- ------------------------------- ---------------------- 3267.7573 D - ----------------------- ------------------------------- ---------------------- 208.684 I By Minor Children - ----------------------- ------------------------------- ---------------------- 127.1298 I By Spouse - ----------------------- ------------------------------- ---------------------- 1956.0787 I IRA Account - ----------------------- ------------------------------- ---------------------- 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 1 FORM 5 (continued) Page 2 - -------------------------------------------------------------------------------- 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 - ---------------------------- ------------------ ---------------- -------------- Stock Option $22.1250 - ---------------------------- ------------------ ---------------- -------------- Stock Option 22.1250 - ---------------------------- ------------------ ---------------- -------------- - ---------------------------- ------------------ ---------------- -------------- - ---------------------------- ------------------ ---------------- -------------- 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 Exercisable Date number of Shares - ----------- ---------- -------------- ----------- --------- ---------- (01) 11/01/2007 Common 95,268 Stock - ----------- ---------- -------------- ----------- --------- ---------- (02) 03/05/2008 Common 13,195 Stock - ----------- ---------- -------------- ----------- --------- ---------- - ----------- ---------- -------------- ----------- --------- ---------- 8.Price of Derivative 9.Number of Deri- 10.Ownership Form of 11.Nature of Security (Inst.5) vative Securities Derivative Indirect Beneficially Security Beneficial Owned at end of Direct (D) or Ownership Indirect (I) (Instr.4) (Instr. 4) - --------------------- ------------------- -------------------- --------------- 95,268 D - --------------------- ------------------- -------------------- --------------- 13,195 D - --------------------- ------------------- -------------------- --------------- - --------------------- ------------------- -------------------- --------------- - --------------------- ------------------- -------------------- --------------- Explanation of Responses (01) This option to buy becomes vested at 20% per year beginning 1/1/1998, and is exercisable (to the extent vested) on or after 1/1/2000. (02) This option to buy becomes vested at 20% per year beginning 1/1/1998, and is exercisable (to the extent vested) on or after 1/1/2000. **Intentional misstatements or /s/ Randall L. Churchey 3/25/99 omissions of facts constitute --------------------------------------- Federal Criminal Violations. See **Signature of Reporting Person Date 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). 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: 2 of 2 ---------------------------------------------- Name Company -----END PRIVACY-ENHANCED MESSAGE-----