SEC Form 5 · accession 0001144204-18-005664
Canterbury Park Holding Corp · CPHC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
Reporting owner
Randall D Sampson
Officer — President & CEO · Director · 10% Owner
Period of report
Dec 31, 2017
Accepted (ET)
Feb 5, 2018 · 2:29 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, 2017 | P | 342 | $10.55 | A | 242,113 | D | |
| COMMON STOCK | Sep 30, 2017 | P | 178 | $12.35 | A | 242,291 | D | |
| COMMON STOCKF1 | Dec 28, 2017 | G | 2,500 | $15.965 | D | 244,791 | D | |
| COMMON STOCK | Dec 31, 2017 | P | 57 | $16.25 | A | 244,848 | D | |
| COMMON STOCKF2 | holding | — | — | — | 342,000 | I | by Trust | |
| COMMON STOCKF3 | holding | — | — | — | 4,900 | I | by Minor Child |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Average high and low share price for 12/28/17
- F2The 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]
- F3The reporting person disclaims any beneficial interest in the shares owned by his minor child