-----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, BMIDTbVZbG9s679eDNHvyvJi2sTwCSOyO2XJuI9Zld5cNsi6fbd+TSZ5jkIySK8T Z5TyLlRZYOBoQ49hvW24Fg== 0001104659-11-006873.txt : 20110211 0001104659-11-006873.hdr.sgml : 20110211 20110211163847 ACCESSION NUMBER: 0001104659-11-006873 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20110211 DATE AS OF CHANGE: 20110211 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CANTERBURY PARK HOLDING CORP CENTRAL INDEX KEY: 0000926761 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-RACING, INCLUDING TRACK OPERATION [7948] IRS NUMBER: 411775532 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-43299 FILM NUMBER: 11599759 BUSINESS ADDRESS: STREET 1: 1100 CANTERBURY DR CITY: SHAKOPEE STATE: MN ZIP: 55379 BUSINESS PHONE: 6124457223 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: SAMPSON CURTIS A CENTRAL INDEX KEY: 0000941310 FILING VALUES: FORM TYPE: SC 13G/A MAIL ADDRESS: STREET 1: PO BOX 777 STREET 2: S MAIN ST CITY: HECTOR STATE: MN ZIP: 55342 SC 13G/A 1 a11-5511_2sc13ga.htm SC 13G/A

 

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

 

SCHEDULE 13G

 

(Rule 13d-102)

 

INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO § 240.13d-1(b), (c) AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO § 240.13d-2

 

UNDER THE SECURITIES EXCHANGE ACT OF 1934

 

(Amendment No. 11)*

 

Canterbury Park Holding Corporation

(Name of Issuer)

Common stock, $.01 par value

(Title of Class of Securities)

13811E 10 1

(CUSIP Number)

December 31, 2010

(Date of Event That Requires Filing of this Statement)

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

o

Rule 13d-1(b)

o

Rule 13d-1(c)

x

Rule 13d-1(d)

 

*The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

 

The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

 


 

 

CUSIP No. 13811E 10 1

13G

 

 

 

1

Name of Reporting Persons

Curtis A. Sampson

 

 

2

Check the Appropriate Box if a Member of a Group (See Instructions)

 

 

(a)

o

 

 

(b)

o

 

 

3

SEC Use Only

 

 

4

Citizenship or Place of Organization
United States

 

 

 

Number of
Shares
Beneficially
Owned by
Each
Reporting
Person With

5

Sole Voting Power
876,400

 

6

Shared Voting Power
11,300

 

7

Sole Dispositive Power
876,400

 

8

Shared Dispositive Power
11,300

 

 

9

Aggregate Amount Beneficially Owned by Each Reporting Person
887,700

 

 

10

Check Box if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)  o

 

 

11

Percent of Class Represented by Amount in Row 9
21.8%

 

 

12

Type of Reporting Person (See Instructions)
IN

 

2


 

Item 1.

 

(a)

Name of Issuer:
Canterbury Park Holding Corporation

 

(b)

Address of Issuer’s Principal Executive Offices:
1100 Canterbury Road, Shakopee, Minnesota 55379

 

Item 2.

 

(a)

Name of Person Filing:
Curtis A. Sampson

 

(b)

Address of Principal Business Office or, if None, Residence:
1100 Canterbury Road, Shakopee, Minnesota  55379

 

(c)

Citizenship:
United States

 

(d)

Title of Class of Securities:
Common stock, $.01 par value

 

(e)

CUSIP Number:
13811E 10 1

 

Item 3.

If this statement is filed pursuant to §§ 240.13d-1(b), or 240.13d-2(b) or (c), check whether the person filing is a:

 

(a)

o

Broker or dealer registered under section 15 of the Act.

 

(b)

o

Bank as defined in section 3(a)(6) of the Act.

 

(c)

o

Insurance company as defined in section 3(a)(19) of the Act.

 

(d)

o

Investment company registered under section 8 of the Investment Company Act of 1940.

 

(e)

o

Investment adviser in accordance with § 240.13d-1(b)(1)(ii)(E).

 

(f)

o

Employee benefit plan or endowment fund in accordance with § 240.13d-1(b)(1)(ii)(F).

 

(g)

o

Parent holding company,  in accordance with § 240.13d-1(b)(ii)(G) (Note: See Item 7).

 

(h)

o

Savings association as defined in Section 3(b) of the Federal Deposit Insurance Act.

 

(i)

o

Church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act.

 

(j)

o

Group, in accordance with § 240.13d-1(b)(1)(ii)(K).

 

If filing as a non-U.S. institution in accordance with § 240.13d-1(b)(1)(ii)(J), please specify the type of institution:____________________________

 

3


 

Item 4.

Ownership.

 

(a)

Amount beneficially owned:   

Mr. Sampson beneficially owns 887,700 shares of the outstanding common stock of the Issuer, which includes: (i) 847,100 shares of common stock owned by Mr. Sampson individually; (ii) options held by Mr. Sampson and exercisable within 60 days of December 31, 2010 to purchase 29,000 shares of common stock; (iii) 11,300 shares of common stock owned by Mr. Sampson’s spouse; and (iv) 300 shares of common stock held by the Sampson Family Foundation, a charitable foundation of which Mr. Sampson is the sole trustee. Mr. Sampson disclaims any beneficial ownership of the shares of the Issuer owned by his spouse or the Sampson Family Foundation.

 

(b)

Percent of class:   

21.8% based on 4,037,615 shares of the Issuer’s common stock outstanding (on average) for the three-month period ending September 30, 2010 as reported in the Issuer’s Quarterly Report on Form 10-Q filed November 15, 2010 and including all 887,700 shares that could be deemed to be beneficially owned by Mr. Sampson.

 

(c)

Number of shares as to which the person has:

 

 

 

(i)

Sole power to vote or to direct the vote:

876,400 (includes options held by Mr. Sampson and exercisable within 60 days of December 31, 2010 to purchase 29,000 shares of common stock).

 

 

(ii)

Shared power to vote or to direct the vote:

11,300

 

 

(iii)

Sole power to dispose or to direct the disposition of:

876,400 (includes options exercisable within 60 days of December 31, 2010 to purchase 29,000 shares)

 

 

(iv)

Shared power to dispose or to direct the disposition of:

11,300

 

Item 5.

Ownership of Five Percent or Less of a Class.

 

If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following   o.

 

Item 6.

Ownership of More Than Five Percent on Behalf of Another Person.

 

Not Applicable

 

Item 7.

Identification and Classification of the Subsidiary Which Acquired the Security Reported on By the Parent Holding Company or Control Person.

 

Not Applicable

 

Item 8.

Identification and Classification of Members of the Group.

 

Not Applicable

 

Item 9.

Notice of Dissolution of Group.

 

Not Applicable

 

 

4


 

Item 10.

Certifications.

 

By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.

 

Signature

 

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:

February 11, 2011

/s/ Curtis A. Sampson

 

 

Curtis A. Sampson

 

5

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