SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
BAINUM STEWART JR

(Last) (First) (Middle)
10770 COLUMBIA PIKE
SUITE 100

(Street)
SILVER SPRING MD 20901

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
CHOICE HOTELS INTERNATIONAL INC /DE [ CHH ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
Chairman
3. Date of Earliest Transaction (Month/Day/Year)
12/05/2003
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
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 (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 176,305 I See Footnote(2)
Common Stock 162,330 I See Footnote(3)
Common Stock 10,142 I See Footnote(4)
Common Stock 851,669 I See Footnote(5)
Common Stock 3,362 I See Footnote(6)
Common Stock 1,716 I See Footnote(7)
Common Stock 12/05/2003 12/05/2003 M 40,000 A $6.9078 1,303,064 I See Footnote(1)
Common Stock 12/05/2003 12/05/2003 S 8,000 D $34.64 1,295,064 I See Footnote(1)
Common Stock 12/05/2003 12/05/2003 S 1,750 D $34.78 1,293,314 I See Footnote(1)
Common Stock 12/05/2003 12/05/2003 S 1,500 D $34.79 1,291,814 I See Footnote(1)
Common Stock 12/05/2003 12/05/2003 F 7,760 D $34.73 1,284,054 I See Footnote(1)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Non-Qualified Stock Option $6.9078 12/05/2003 12/05/2003 M 40,000 12/06/1998 12/05/2003 Common 40,000 $0 180,475 D
Incentive Stock Options (8) (8) (8) Common (8) 19,325 D
Explanation of Responses:
1. Shares owned by Stewart Bainum Jr. Declaration of Trust ("Stewart Bainum Jr. Trust") in which Mr. Bainum, Jr. is the sole trustee.
2. The proportionate interest of the Stewart Bainum, Jr. Trust in shares (1,779,628) owned by Mid Pines Associates, L.P.
3. The proportionate interest of the Stewart Bainum, Jr. Grantor Retained Annuity Trust dated September 10, 1996 ("GRAT"), the sole trustee of which is Mr. Bainum, Jr., in shares (1,779,628) owned by Mid Pines Associates, L.P.
4. The proportionate interest of various trusts, the beneficiaries of which are Mr. Bainum, Jr.'s two minor children in shares (1,779,628) owned by Mid Pines Associates, L.P.
5. The proportionate interest of the Stewart Bainum, Jr. Trust in shares (3,567,869) owned by Realty Investment Company, Inc. a real estate investment and management company in which Mr. Bainum, Jr. is a non-controlling shareholder. Also includes 128,591 shares indirectly held through certain trusts for the benefit of Mr. Bainum, Jr.'s two minor children.
6. Includes 3,362 shares of restricted stock granted by the Issuer which Mr. Bainum, Jr. has the right to receive upon termination of his employment with the Company pursuant to the terms of the Choice Hotels International, Inc. Non-Qualified Retirement Savings and Investment Plan.
7. The proportionate interest of a trust in shares (1,779,628) owned by Mid Pines Associates, L.P. for the benefit of Mr. Bainum, Jr's great-nephew. Mr. Bainum, Jr. is the sole trustee and his great-nephew is the beneficiary. Beneficial ownership is disclaimed.
8. Incentive Stock Option Plan shares held by Mr. Bainum, Jr.
Christine A. Shreve, Attorney-in-fact 12/05/2003
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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