SEC Form 5/A · accession 0001144204-18-016203
Canterbury Park Holding Corp · CPHC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 5/A). It replaces an earlier filing for the same period.
Reporting owner
Randall D Sampson
Officer — President & CEO · Director · 10% Owner
Period of report
Dec 31, 2017
Accepted (ET)
Mar 21, 2018 · 5:11 pm EDT
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 | 242,335 | D | |
| COMMON STOCK | Sep 30, 2017 | P | 178 | $12.35 | A | 241,513 | D | |
| COMMON STOCKF1 | Dec 28, 2017 | G | 2,500 | $0.00 | D | 239,013 | D | |
| COMMON STOCKF1 | Dec 31, 2017 | P | 57 | $16.25 | A | 239,070 | D | |
| COMMON STOCKF2 | holding | — | — | — | 342,000 | I | by Trust |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The original Form 5 filing indicated an incorrect amount of securities beneficially owned following reported transaction
- 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]