-----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, I01U7oH5EIZithB1BfQrD5xj4Z2Oqg0CL7c7N5OQUAJfWmVjTyGKE9bRn0VpMnUd 9re3fu7mPNDEFcn83TmFjQ== 0000950134-97-005259.txt : 19970711 0000950134-97-005259.hdr.sgml : 19970711 ACCESSION NUMBER: 0000950134-97-005259 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19970630 FILED AS OF DATE: 19970710 SROS: NONE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: SILVERLEAF RESORTS INC CENTRAL INDEX KEY: 0001033032 STANDARD INDUSTRIAL CLASSIFICATION: HOTELS & MOTELS [7011] IRS NUMBER: 752259890 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13003 FILM NUMBER: 97639060 BUSINESS ADDRESS: STREET 1: 1221 RIVERBEND DR STREET 2: SUITE 120 CITY: DALLAS STATE: TX ZIP: 75247 BUSINESS PHONE: 2146311166 MAIL ADDRESS: STREET 1: 1221 RIVERBEND DR STREET 2: SUITE 120 CITY: DALLAS STATE: TX ZIP: 75247 COMPANY DATA: COMPANY CONFORMED NAME: CEARLEY SANDRA G CENTRAL INDEX KEY: 0001040757 STANDARD INDUSTRIAL CLASSIFICATION: LAND SUBDIVIDERS & DEVELOPERS (NO CEMETERIES) [6552] OFFICER STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 1221 RIVERBEND DR STREET 2: SUITE 120 CITY: DALLAS STATE: TX ZIP: 75247 BUSINESS PHONE: 2146311166 MAIL ADDRESS: STREET 1: 1221 RIVERBEND DR STREET 2: SUITE 120 CITY: DALLAS STATE: TX ZIP: 75247 4 1 FORM 4 1 FORM 4 U.S. SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OMB APPROVAL OMB NUMBER 3235-0287 EXPIRES: SEPTEMBER 30, 1998 ESTIMATED AVERAGE BURDEN HOURS PER RESPONSE . . . . 0.5 Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 / / CHECK THIS BOX IF NO LONGER SUBJECT TO SECTION 16. FORM 4 OR FORM 5 OBLIGATIONS MAY CONTINUE. SEE INSTRUCTION 1(b). (Print or Type Responses) 1. Name and Address of Reporting Person CEARLEY SANDRA G. -------------------------------------------------------------------- (Last) (First) (Middle) 1221 RIVERBEND DRIVE, SUITE 120 -------------------------------------------------------------------- (Street) DALLAS TEXAS 75247 -------------------------------------------------------------------- (City) (State) (Zip) 2. Issuer Name and Ticker or Trading Symbol SILVERLEAF RESORTS, INC. (NYSE:SVR) -------------------------------------------------------------------- 3. IRS or Social Security Number of Reporting Person (Voluntary) -------------------------------------------------------------------- 4. Statement for Month/Year 6/97 -------------------------------------------------------------------- 5. If Amendment, Date of Original (Month/Year) -------------------------------------------------------------------- 6. Relationship of Reporting Person to Issuer (Check all applicable) Director 10% Owner --- --- X Officer (give title below) Other (specify below) --- --- 7. Individual or Joint/Group Filing (Check Applicable) X Form filed by One Reporting Person --- Form filed by More than One Reporting Person --- --------------------- - -------------------------------------------------------------------------------- TABLE I -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
- ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Security 2. Transaction Date 3. Transaction Code 4. Securities Acquired (A) or (Instr. 3) (Month/Day/Year) (Instr.8) Disposed of (D) (Instr. 3, 4 and 5) - ------------------------------------------------------------------------------------------------------------------------------------ Code / V Amount / (A) or (D) / Price - ------------------------------------------------------------------------------------------------------------------------------------ (not applicable) - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------------ 5. Amount of Securities 6. Ownership Form: Direct 7. Nature of Indirect Beneficially Owned (D) or Indirect (I) Beneficial Ownership at End of Month (Instr. 4) (Instr. 4) (Instr. 3 and 4) - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over) * If the form filed by more than one reporting person, see Instruction 4(b)(v) SEC 1474 (7/96)
2 FORM 4 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
1. Title of Derivative 2. Conversion or 3. Transaction 4. Transaction 5. Number of Derivative 6. Date Exercisable and Security (Instr. 3) Exercise Price Date (Month/ Code (Instr. 8) Securities Acquired Expiration Date of Derivative Day/Year) (A) or Disposed of (Month/Day/Year) Security (D) (Instr. 3, 4, and 5) - ------------------------------------------------------------------------------------------------------------------------------------ Code / V (A) / (D) Date Expiration Exercisable Date - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ Incentive Options $16.00 06/05/97 A V 2,000* * 06/04/07 - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------
7. Title and Amount 8. Price of 9. Number of 10. Ownership 11. Nature of of Underlying Derivative Derivative Form of Indirect Securities (Instr. Security Securities Derivative Beneficial 3 and 4) (Instr. 5) Beneficially Security: Ownership Owned at Direct (D) (Instr. 4) Amount or End of or Indirect Number of Month (I) (Instr. 4) Title Shares (Instr. 4) - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 2,000* $-0- 2,000* D - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ Explanation of Responses: On or after 5/5/98 to and including 6/4/99 - 500 shares; on or after 6/5/99 to and including 6/4/00 - 500; on or after 6/5/00 to and including 6/4/01 - 500 shares; and on or after 6/5/01 to and including 6/4/07 - 500 shares.
** Intentional misstatements or omissions of facts constitute /s/ SANDRA G. CEARLEY 7-10-97 Federal Criminal Violations. See 18 U.S.C. 1001 and 15 ----------------------------- ---------- U.S.C. 78ff(a). ** Signature of Date Reporting Person Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient, see Instruction 6 for procedure. Potential persons who are to respond to the collection of information contained in this Page 2 form are not required to respond unless the form displays the currently valid OMB Number. SEC 1474 (7/96)
-----END PRIVACY-ENHANCED MESSAGE-----