-----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, KPswNwybfCJB9MH5PA+stkqgy8Auj2aUtO178yhdZz8EKMgSY2g4bOyYpntFaE7F eDHk302wYaYWSUNYqaClGw== 0001181431-05-008811.txt : 20050210 0001181431-05-008811.hdr.sgml : 20050210 20050210214735 ACCESSION NUMBER: 0001181431-05-008811 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041231 FILED AS OF DATE: 20050210 DATE AS OF CHANGE: 20050210 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CHOICE HOTELS INTERNATIONAL INC /DE CENTRAL INDEX KEY: 0001046311 STANDARD INDUSTRIAL CLASSIFICATION: HOTELS & MOTELS [7011] IRS NUMBER: 521209792 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 10750 COLUMBIA PIKE CITY: SILVER SPRING STATE: MD ZIP: 20901 BUSINESS PHONE: 3015925181 MAIL ADDRESS: STREET 1: 10750 COLUMBIA PIKE CITY: SILVER SPRING STATE: MD ZIP: 20901 FORMER COMPANY: FORMER CONFORMED NAME: CHOICE HOTELS FRANCHISING INC DATE OF NAME CHANGE: 19971118 FORMER COMPANY: FORMER CONFORMED NAME: CHOICE HOTELS INTERNATIONAL INC/ DATE OF NAME CHANGE: 19971022 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BAINUM BRUCE CENTRAL INDEX KEY: 0001036806 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13393 FILM NUMBER: 05594948 BUSINESS ADDRESS: BUSINESS PHONE: 3015921300 MAIL ADDRESS: STREET 1: 10770 COLUMBIA PIKE STREET 2: SUITE 100 CITY: SILVER SPRING STATE: MD ZIP: 20910 5 1 rrd65850.xml X0202 5 2004-12-31 0 0 0 0001046311 CHOICE HOTELS INTERNATIONAL INC /DE CHH 0001036806 BAINUM BRUCE 10770 COLUMBIA PIKE SUITE 100 SILVER SPRING MD 20901 0 0 1 0 Common Stock 65407 I See Footnote Common Stock 59445 I See Footnote Common Stock 40712 I See Footnote Common Stock 700185 I See Footnote Common Stock 700214 I See Footnote Common Stock 2004-01-27 2004-01-27 5 J 0 1001 0 D 105862 I See Footnote Common Stock 2004-01-27 2004-01-27 5 J 0 1001 0 A 2119451 I See Footnote Common Stock 2004-12-16 2004-12-16 5 J 0 23300 0 D 82562 I See Footnote Common Stock 2004-12-16 2004-12-16 5 J 0 23300 0 A 2142751 I See Footnote Common Stock 2004-12-31 2004-12-31 5 J 0 18453 0 D 24612 I See Footnote Common Stock 2004-12-31 2004-12-31 5 J 0 18453 0 A 43065 I See Footnote Common Stock 2004-12-31 2004-12-31 5 J 0 43110 0 D 109990 I See Footnote Common Stock 2004-12-31 2004-12-31 5 J 0 7923 0 D 102067 I See Footnote Common Stock 2004-12-31 2004-12-31 5 J 0 51033 0 A 153100 I See Footnote Common Stock 2004-12-31 2004-12-31 5 J 0 33172 0 A 66666 I See Footnote Common Stock 2004-12-31 2004-12-31 5 J 0 33172 0 D 10751 I See Footnote Common Stock 2004-01-27 2004-01-27 5 J 0 1481 0 A 1574393 I See Footnote Shares owned by the Bruce Bainum Declaration of Trust ("the Trust"), the sole trustee and beneficiary of which is Mr. Bainum The proportionate interest in shares (600,000) owned by Mid Pines Associates, L.P. ("Mid Pines") by the Trust, the sole trustee of which is Mr. Bainum. The proportionate interest of the Bruce Bainum Grantor Retained Annuity Trust dated September 5, 1996, ("GRAT") the sole trustee of which is Mr. Bainum, in shares (600,000) owned by Mid Pines. Shares owned by the GRAT, the sole trustee and beneficiary of which is Mr. Bainum. Shares owned by the Roberta Bainum Irrevocable Trust. Mr. Bainum is trustee and his sister is the beneficiary. Beneficial ownership is disclaimed. The proportionate interest of the Roberta Bainum Irrevocable Trust in shares (600,000) owned by Mid Pines. Mr. Bainum is trustee and his sister is the beneficiary. Beneficial ownership is disclaimed. The proportionate interest of the Trust in shares (3,567,869) owned by Realty Investment Co. Inc., a real estate investment and management company in which Mr. Bainum is a noncontrolling shareholder. The proportionate interest in shares owned by Realty Investment Company, Inc. (3,567,869) of (a) shares owned in trust for the benefit of Mr. Bainum's minor child (43,110), (b) shares owned in trust for the benefit of Mr. Bainum's adult children in which Mr. Bainum is the trustee (102,067) and (c) shares owned directly by Mr. Bainum's minor child (7,923). The proportionate interest in shares owned by Mid Pines (600,000) of (a) shares owned in trust for the benefit of Mr. Bainum's minor child (5,980), AND (b) shares owned in trust for the benefit of Mr. Bainum's adult children for which Mr. Bainum is the trustee (37,085). The proportionate interest of the Roberta Bainum Irrevocable Trust in shares (3,567,869) owned by Realty Investment Co. Inc. Mr. Bainum is trustee and his sister is the beneficiary. Beneficial ownership is disclaimed. Shares owned by trusts for the benefit of Mr. Bainum's adult sons. Mr. Bainum is the sole trustee and his sons are the beneficaries. Beneficial ownership is disclaimed. Shares owned by a trust for the benefit of Mr. Bainum's minor child. Mr. Bainum's GRAT distributed shares to the Trust. Mr. Bainum's GRAT substituted shares with the Trust. One of Mr. Bainum's sons reached maturity and transfered his proportionate interest in shares owned by Mid Pines from a children's trust to a new grantor trust for which Mr. Bainum is trustee. One of Mr. Bainum's sons reached maturity and transfered a) his proportionate interest in shares owned by Realty from a children's trust and b) shares owned directly by the son. These shares were contributed to a new grantor trust for which Mr. Bainum is trustee One of Mr. Bainum's sons reached maturity and transfered shares from a children's trust to a new grantor trust. The Roberta Bainum Irrevocable Trust received additional shares. Christine A. Shreve, Attorney-in-fact 2005-02-10 -----END PRIVACY-ENHANCED MESSAGE-----