-----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, WSmkmUGMXdYUF26kX90yRaNL1FOF+vJUbO7xQMpCIOiGmsPzDo79kqP+OYNi+QkI HNuVYHIEuHbx8GDkyDa+WQ== 0000950134-98-000799.txt : 19980206 0000950134-98-000799.hdr.sgml : 19980206 ACCESSION NUMBER: 0000950134-98-000799 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19980130 FILED AS OF DATE: 19980205 SROS: NONE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: FELCOR SUITE HOTELS 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: 4 SEC ACT: SEC FILE NUMBER: 001-14236 FILM NUMBER: 98521960 BUSINESS ADDRESS: STREET 1: 545 E JOHN CARPENTER FREEWAY STREET 2: SUITE 1300 CITY: IRVING STATE: TX ZIP: 75062 BUSINESS PHONE: 2144444900 MAIL ADDRESS: STREET 1: 545 E JOHN CARPENTER FREEWAY STREET 2: SUITE 1300 CITY: IRVING STATE: TX ZIP: 75062 COMPANY DATA: COMPANY CONFORMED NAME: JACOBSON RICHARD O CENTRAL INDEX KEY: 0000937488 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 3811 DIXON AVENUE CITY: DES MOINES STATE: IA ZIP: 50313 BUSINESS PHONE: 9724444908 MAIL ADDRESS: STREET 1: 3811 DIXON AVENUE CITY: DES MOINES STATE: IA ZIP: 50313 4 1 FORM 4 - RICHARD O. JACOBSON 1 ------------------------------ OMB APPROVAL ------------------------------ OMB NUMBER 3235-0287 EXPIRES: SEPTEMBER 30, 1998 ESTIMATED AVERAGE BURDEN HOURS PER RESPONSE . . . . 0.5 ------------------------------ - ------ FORM 4 U.S. SECURITIES AND EXCHANGE COMMISSION - ------ WASHINGTON, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP [ ] CHECK THIS BOX IF NO LONGER SUBJECT TO SECTION 16. FORM 4 OR FORM 5 OBLIGATIONS MAY CONTINUE. SEE INSTRUCTION 1(b). 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 of 1940 1. Name and Address of Reporting Person 2. Issuer Name and Ticker or Trading Symbol 3. IRS or Social Security Number of Reporting Person (Voluntary) Jacobson Richard O. FelCor Suite Hotels, Inc. (FCH) ------------------------------------ ---------------------------------------- -------------------------------- (Last) (First) (Middle) 545 E. John Carpenter Frwy. ------------------------------------ (Street) Irving TX 75062-0000 ------------------------------------ (City) (State) (Zip) 4. Statement for Month/Year 5. If Amendment, Date of 6. Relationship of Reporting Person to Issuer Original (Month/Year) (Check all applicable) January 1998 ------------------------ --------------------- X Director 10% Owner --- --- Officer (give title below) Other (specify below) --- --- 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 ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Security 2. Transaction Date 3. Transaction Code 4. Securities Acquired (A) or (Instr. 3) (Month/Day/Year) (Instr.8) Disposed of (D) (Instr. 3, 4 & 5) - ------------------------------------------------------------------------------------------------------------------------------------ Code / V Amount / (A) or (D) / Price - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 12/31/1997 G 7700 D $36.1250 - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------------ 5. Amount of Securities 6. Ownership Form: Direct 7. Nature of Indirect Beneficially Owned (D) or Indirect (I) Beneficial Ownership at End of Month (Instr. 4) (Instr. 4) (Instr. 3 and 4) - ------------------------------------------------------------------------------------------------------------------------------------ 13,500 D - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over) * If the form filed by more than one reporting person, see Instruction 4(b)(v). SEC 1474 (7/96)
PAGE: 1 OF 2 2 FORM 4 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
1. Title of Derivative 2. Conversion or 3. Transaction 4. Transaction 5. Number of Derivative 6. Date Exercisable and Security (Instr. 3) Exercise Price Date (Month/ Code (Instr. 8) Securities Acquired Expiration Date of Derivative Day/Year) (A) or Disposed of (Month/Day/Year) Security (D) (Instr. 3, 4, & 5) - ------------------------------------------------------------------------------------------------------------------------------------ Code / V (A) / (D) Date Expiration Exercisable Date - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------
7. Title and Amount 8. Price of 9. Number of 10. Ownership 11. Nature of of Underlying Derivative Derivative Form of Indirect Securities (Instr. Security Securities Derivative Beneficial 3 and 4) (Instr. 5) Beneficially Security: Ownership Owned at Direct (D) (Instr. 4) Amount or End of or Indirect Number of Month (I) (Instr. 4) Title Shares (Instr. 4) - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------
Explanation of Responses: ** Intentional misstatements or omissions of facts constitute /s/ RICHARD O. JACOBSON 02/04/98 Federal Criminal Violations. See 18 U.S.C. 1001 and 15 ----------------------------- ---------- U.S.C. 78ff(a). ** Signature of Date Reporting Person Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient, see Instruction 6 for procedure. Potential persons who are to respond to the collection of informations contained in this Page 2 form are not required to respond unless the form displays the currently valid OMB Number. SEC 1474 (7/96)
Jacobson, Richardson O. FelCor Suite Hotels, Inc. JAN-1998 PAGE 2 OF 2 -----END PRIVACY-ENHANCED MESSAGE-----