-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, SyMKtUNl/vZOP8/QNo1ToEENz0s58CZ7iLD9xHxwNjaD1s1i32g3VMFWr4pb1Ddd g55PwcDU8RAJACir4g0GgQ== 0000924557-97-000013.txt : 19970819 0000924557-97-000013.hdr.sgml : 19970819 ACCESSION NUMBER: 0000924557-97-000013 CONFORMED SUBMISSION TYPE: SC 13G CONFIRMING COPY: PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970818 SROS: NONE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: SUPERTEL HOSPITALITY INC CENTRAL INDEX KEY: 0000919640 STANDARD INDUSTRIAL CLASSIFICATION: HOTELS & MOTELS [7011] IRS NUMBER: 470774097 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-43315 FILM NUMBER: 00000000 BUSINESS ADDRESS: STREET 1: 309 NORTH 5TH ST STREET 2: P O BOX 1448 CITY: NORFOLK STATE: NE ZIP: 68702-1448 BUSINESS PHONE: 4023712520 MAIL ADDRESS: STREET 1: 309 NORTH 5TH STREET STREET 2: P O BOX 1448 CITY: NORFOLK STATE: NE ZIP: 68702-1448 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: KPM INVESTMENT MANAGEMENT INC /NE/ /ADV CENTRAL INDEX KEY: 0000924557 STANDARD INDUSTRIAL CLASSIFICATION: [] IRS NUMBER: 470776925 STATE OF INCORPORATION: NE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 10250 REGENCY CIRCLE STREET 2: SUITE 500 CITY: OMAHA STATE: NE ZIP: 68114 BUSINESS PHONE: 4023927971 FORMER COMPANY: FORMER CONFORMED NAME: KPM INVESTMENT MANAGEMENT INC /NE/ /ADV DATE OF NAME CHANGE: 19970721 SC 13G 1 SCHEDULE 13 G 12/96 FOR SUPERTEL HOSPITALITY SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No._______) Supertel Hospitality, Inc. (Name of Issuer) Common Stock (Title of Class of Securities) 868524109 (CUSIP Number) 1) Names of Reporting Persons S.S. or I.R.S. Identification Nos. of Above Persons. 47-0776925 2) Check the Appropriate Box if a Member of a Group. (a) _____ (b) XX ----- 3) SEC Use Only. 4) Citizensbip or Place of Organization. State of Nebraska Number of Shares Beneficially Owned by Each Reporting Person With: 5) Sole Voting Power 421,600 6) Shared Voting Power 0 7) Sole Dispositive Power 421,600 8) Shared Dispositive Power 0 9) Aggregate Amount Beneficially Owned by Each Reporting Person. 421,600 10) Check if the Aggregate Amount in Row (9) Excludes Certain Shares. ( ) 11) Percent of Class Represented by Amount in Row 9. 8.71% 12) Type of Reporting Person. Investment Advisor (IA) Check the following box if a fee is being paid with this statement ( ) SCHEDULE 13G Page -2 Item 1 (a). Name of Issuer: Supertel Hospitality, Inc. Item 2 (a). Name of Person Filing: KPM Investment Management Inc. Item 3. If this statement is filed pursuant to Rules 13d-1(b), or 23d-2(b), check whether the person filing is a: (e) [xx] Investment Adviser registered under section 203 of the Investment Advisers Act of 1940 Item 4. Ownership Investment Advisor, representing numerous discretionary accounts, beneficially owns 421,600 shares of common stock representing 8.71% of the total outstanding (4840000). Filer has sole voting and dispositive power. Item 5. Ownership of Five Percent (5%) or Less of a Class. [ ] Item 6. Ownership of more than Five Percent(5%) on behalf of another person. N/A Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company. N/A Item 8. Identification and Classification of Member of the Group. N/A Item 9. Notice of Dissolution of Group. N/A Item 10. Certification By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were acquired in the ordinary course of business and were not acquired for the purpose of and do not have the effect of changing or influencing the control of the issuer of such securities and were no acquired in connection with or as a participant in any transaction having such purposes or effect. After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. Date 2-3-97 /S/ Rodney D. Cerny
KPM Investment Management, Inc. SECURITY CROSS REFERENCE December 31, 1996 Security: sppr (Supertel Hospitality, Inc.) Price: 9.000 PORTFOLIO TOTAL MARKET UNREALIZED CODE NAME QUANTITY COST VALUE GAIN/LOSS - --------- ---------------------------------- -------- ------------ ------------ ----------- 16715360 Omaha Construction Industry P/P 48,000 613,340.00 432,000.00 -181,340.00 30213585 Antolak, Stanley IRA 1,000 13,420.71 9,000.00 -4,420.71 38374565 Sorensen, Mark B. MD SEP/IRA 1,000 13,292.27 9,000.00 -4,292.27 40000084 Midwest Laboratories, Inc., P/S 5,200 60,708.48 46,800.00 -13,908.48 40000098 Midwest Laboratories, Inc. P/P 4,700 55,208.15 42,300.00 -12,908.15 40616954 Behlen Mfg. Co. 401K Thrift Plan & 9,400 102,051.42 84,600.00 -17,451.42 Trust 40617270 Berens & Tate PC 401K 2,000 22,729.74 18,000.00 -4,729.74 41315281 City of Holdrege P/P 600 5,355.30 5,400.00 44.70 41321475 City of Gering Police Officers P/P 800 8,132.91 7,200.00 -932.91 (Aggressive Growth) 41321630 Cliffs Notes Inc. MP P/P 1,200 10,685.42 10,800.00 114.58 44440003 Vishay Intertech Master Trust - KPM - 16,000 141,984.00 144,000.00 2,016.00 Hourly P/P of Sprague Elec. 44541281 IBEW Local No. 22-NECA Pension Plan 8,100 88,448.40 72,900.00 -15,548.40 44543954 Painters Local #109 Pension Fund 3,700 32,815.56 33,300.00 484.44 45971260 Medical Lab Inc. P/S FBO: Dr. Skoog 2,300 20,428.39 20,700.00 271.61 45990904 Fremont Area Medical Center Equity 20,500 243,589.19 184,500.00 -59,089.19 48096200 Smeal Fire Apparatus P/S Equity 3,000 26,625.23 27,000.00 374.77 Account 48096262 Smeal Manufacturing Company P/S 700 6,932.56 6,300.00 -632.56 Equity Account 50717721 Bishop Clarkson Memorial Foundation / 34,000 366,188.00 306,000.00 -60,188.00 Equity 50717735 Bishop Clarkson Memorial Foundation 1,500 16,099.50 13,500.00 -2,599.50 Scholarship Fund/Equity 51220744 Central States Health & Life of Omaha 28,000 301,606.00 252,000.00 -49,606.00 51315285 Grand Island Police Officers P/P 1,800 21,201.81 16,200.00 -5,001.81 51315290 Grand Island FireFighters P/P Equity 7,800 92,265.96 70,200.00 -22,065.96 51320096 KPM FUNDS, Inc. Equity Portfolio 75,000 798,725.00 675,000.00 -123,725.00 51523232 Custer Public Power District Money 3,400 30,164.84 30,600.00 435.16 Purchase P/P 52127033 Edwards, Robert & Charlene 600 5,355.30 5,400.00 44.70 54489579 Jacobsen, Thomas 700 6,273.79 6,300.00 26.21 54646353 Jacobsen, Peter L. & Ellen G. Trust 400 3,602.15 3,600.00 -2.15 54721700 KPM Equity Partners LP 18,000 166,492.06 162,000.00 -4,492.06 54948690 Katelman, Lorrie Farris Trust 500 4,471.48 4,500.00 28.52 55451141 Wai, Cecilia Farnily Trust: Lambert Wai 1,500 13,347.24 13,500.00 152.76 Trustee 55552649 Loseke, Lavonne 2,300 20,430.89 20,700.00 269.11 55754567 McKinney, Daniel MD 1,700 15,121.78 15,300.00 178.22 56019915 Mueller-Schluter LP 10,000 88,542.50 90,000.00 1,457.50 56331992 Farmers Mutual United Insurance Company 1,500 13,347.24 13,500.00 152.76 1 KPM Investment Management, Inc. SECURITY CROSS REFERENCE December 31, 1996 Security: sppr (Supertel Hospitality, Inc.) Price: 9.000 PORTFOLIO TOTAL MARKET UNREALIZED CODE NAME QUANTITY COST VALUE GAIN/LOSS - --------- ---------------------------------- -------- ------------ ------------ ----------- 56357944 NE Farmers Mutual Reinsurance 800 7,133.09 7,200.00 66.91 Association 56357977 Nebraska Investment Council - Fund B 86,100 1,000,360.50 774,900.00 -225460.50 Small Cap 56662468 O'Neal, T. Keith 2,500 23,243.08 22,500.00 -743.08 57167410 Prebula, Alvin & Stephanie 1,500 13,344.74 13,500.00 155.26 57952513 Shenandoah Memorial Hospital 3,000 26,625.23 27,000.00 374.77 59268105 Hestmark, Virginia W. Trust 2,100 18,670.88 18,900.00 229.12 59688168 Youngstrom, Warren & Jacqueline 3,000 26,625.23 27,000.00 374.77 7764 KPTC: Scottsbluff Police Officers 3,700 32,813.06 33,300.00 486.94 Pension Plan 7769 KPTC: Scottsbluff FireFighters Pension 2,000 17,763.82 18,000.00 236.18 Plan -------- ----------- ----------- --------- 421,600 4,595,562.90 3,794 400.00 -801,162.90 2
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