SEC Form 4 · accession 0001144204-19-004070
Canterbury Park Holding Corp · CPHC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Randall D Sampson
Officer — President and CEO · Director · 10% Owner
Period of report
Jan 29, 2019
Accepted (ET)
Jan 31, 2019 · 4:11 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 | Jan 29, 2019 | M | 15,000 | $6.00 | A | 254,209 | D | |
| Common Stock | Jan 29, 2019 | F | 5,863 | $15.35 | D | 248,346 | D | |
| Common StockF1 | holding | — | — | — | 344,000 | I | By Trust |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (right to buy) | $6.00 | Jan 29, 2019 | M | 15,000 | D | Oct 23, 2012 | Apr 23, 2019 | Common Stock | 15,000 | 0 | D |
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 trust].