0000895813-17-000071.txt : 20171109 0000895813-17-000071.hdr.sgml : 20171109 20171109131836 ACCESSION NUMBER: 0000895813-17-000071 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171108 FILED AS OF DATE: 20171109 DATE AS OF CHANGE: 20171109 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LUMPKIN RICHARD ANTHONY CENTRAL INDEX KEY: 0000925184 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-51446 FILM NUMBER: 171189914 MAIL ADDRESS: STREET 1: 121 SOUTH 17TH STREET CITY: MATTOON STATE: IL ZIP: 61938 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Consolidated Communications Holdings, Inc. CENTRAL INDEX KEY: 0001304421 STANDARD INDUSTRIAL CLASSIFICATION: TELEPHONE COMMUNICATIONS (NO RADIO TELEPHONE) [4813] IRS NUMBER: 020636095 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 121 SOUTH 17TH STREET CITY: MATTOON STATE: IL ZIP: 61938 BUSINESS PHONE: (217) 235-3311 MAIL ADDRESS: STREET 1: 121 SOUTH 17TH STREET CITY: MATTOON STATE: IL ZIP: 61938 FORMER COMPANY: FORMER CONFORMED NAME: Consolidated Communications Illinois Holdings, Inc. DATE OF NAME CHANGE: 20040927 4 1 xf4_lumpkin-11092017.xml OWNERSHIP DOCUMENT X0306 4 2017-11-08 0 0001304421 Consolidated Communications Holdings, Inc. CNSL 0000925184 LUMPKIN RICHARD ANTHONY 121 SOUTH 17TH STREET MATTOON IL 61938 1 0 0 0 Common Stock, par value $0.01 per share 2017-11-08 4 P 0 7000 14.76 A 493454 I By Living Trust FBO Richard A. Lumpkin Common Stock, par value $0.01 per share 12667 D Common Stock, par value $0.01 per share 309674 I By Benjamin I. Lumpkin 2008 Dynasty Trust Common Stock, par value $0.01 per share 277417 I By Elizabeth L. Celio 2008 Dynasty Trust Common Stock, par value $0.01 per share 3500 I By wife Common Stock, par value $0.01 per share 106153 I By Benjamin I. Lumpkin 2012 Irrevocable Trust Mr. Lumpkin is the trustee of the Benjamin I. Lumpkin 2008 Dynasty Trust. The Benjamin I. Lumpkin 2008 Dynasty Trust was established by Mr. Lumpkin's son, Benjamin I. Lumpkin ("Benjamin"). The beneficiaries of the Benjamin I. Lumpkin 2008 Dynasty Trust are the descendants of Benjamin's parents. Mr. Lumpkin is the trustee of the Elizabeth L. Celio 2008 Dynasty Trust. The Elizabeth L. Celio 2008 Dynasty Trust was established by Mr. Lumpkin's daughter, Elizabeth L. Celio ("Elizabeth"). The beneficiaries of the Elizabeth L. Celio 2008 Dynasty Trust are Elizabeth's husband, Candelario Celio, and the descendants of Elizabeth's parents. Mr. Lumpkin disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that Mr. Lumpkin is the beneficial owner of such securities for purposes of Section 16 or for any other purpose. These shares are reported solely for Mr. Lumpkin as reporting person. Mr. Lumpkin is the trustee of the Benjamin I. Lumpkin 2012 Irrevocable Trust. The beneficiaries of the Benjamin I. Lumpkin 2012 Irrevocable Trust are the descendants of Benjamin. /s/ Steven J. Shirar, Power of Attorney 2017-11-08