SEC Form 4 · accession 0000897101-15-001688
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 14, 2015
Accepted (ET)
Dec 17, 2015 · 5:12 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000926761
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Dec 14, 2015 | F | 336 | $10.73 | D | 241,304 | 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
- F1The reporting person has elected to satisfy his tax withholding obligation in connection with the vesting of a prior deferred stock grant by directing the Company to withhold shares otherwise issuable pursuant to the previously reported grant.
- 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.