SEC Form 5 · accession 0000897101-17-000218
Canterbury Park Holding Corp · CPHC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Randall D Sampson
Officer — President, CEO & General Mgr · Director · 10% Owner
Period of report
Dec 31, 2016
Accepted (ET)
Feb 15, 2017 · 4:52 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001672909
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Mar 31, 2016 | P | 277 | $10.35 | A | 238,692 | D | |
| Common Stock | Jun 30, 2016 | P | 195 | $10.98 | A | 238,887 | D | |
| Common Stock | Sep 30, 2016 | P | 207 | $10.28 | A | 239,094 | D | |
| Common Stock | Dec 31, 2016 | P | 177 | $10.05 | A | 239,271 | D | |
| Common StockF1 | holding | — | — | — | 342,000 | I | By Trust | |
| Common StockF2 | holding | — | — | — | 4,900 | I | By Minor Child |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The stock is owned by Marian Arlis Sampson 2012 Irrevocable Trust. The reporting person is a trustee of the Trust and disclaims any beneficial ownership of the stock, except to the extent of the reporting person's pecuniary interest in the shares [held by the trust].
- F2The reporting person disclaims any beneficial interest in the shares owned by his minor child.