0000899243-18-004049.txt : 20180214 0000899243-18-004049.hdr.sgml : 20180214 20180214213328 ACCESSION NUMBER: 0000899243-18-004049 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20171231 FILED AS OF DATE: 20180214 DATE AS OF CHANGE: 20180214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MILLER SAMUEL H CENTRAL INDEX KEY: 0001217459 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37671 FILM NUMBER: 18615950 MAIL ADDRESS: STREET 1: 50 PUBLIC SQUARE SUITE 1100 CITY: CLEVELAND STATE: OH ZIP: 44113 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Forest City Realty Trust, Inc. CENTRAL INDEX KEY: 0001647509 STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798] IRS NUMBER: 474113168 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: TERMINAL TOWER, 50 PUBLIC SQUARE STREET 2: SUITE 1100 CITY: CLEVELAND STATE: OH ZIP: 44113 BUSINESS PHONE: (216) 621-6060 MAIL ADDRESS: STREET 1: TERMINAL TOWER, 50 PUBLIC SQUARE STREET 2: SUITE 1100 CITY: CLEVELAND STATE: OH ZIP: 44113 5 1 doc5.xml FORM 5 SUBMISSION X0306 5 2017-12-31 1 0 0 0001647509 Forest City Realty Trust, Inc. FCEA 0001217459 MILLER SAMUEL H 50 PUBLIC SQUARE, SUITE 1100 CLEVELAND OH 44113 0 0 0 1 Former 10% group member Class A Common Stock 2017-06-12 5 J 0 1306470 A 1954975 D Class A Common Stock 10692.57 I 401k Plan Class A Common Stock 2017-06-12 5 J 0 1179 A 1179 D Class B Common - Convertible 0.00 2017-06-12 5 J 0 900 D 1988-08-08 1988-08-08 Common Stock 900 0 D Class B Common - Convertible 0.00 2017-06-12 5 J 0 997306 D 1988-08-08 1988-08-08 Common Stock 997306 0 D Samuel H. Miller, Trustee of the Samuel H. Miller Trust UA, June 10, 1983. 401k Plan - Class A Common shares. General partner in RMS, Ltd., and held as Samuel H. Miller, Trustee. Trust held 900 shares of Class B Common Stock which were reclassified on 6/12/17 into 1,179 shares of Class A Common Stock. Limited partner in RMS, Ltd., and held as Samuel H. Miller, Trustee. Trust held 997,306 shares of Class A Common stock which were reclassified into 1,306,470 shares of Class A Common Stock. Post-reclassification, as of 6/12/17, 633,800 shares of Class A Common Stock are held as a direct limited partnership interest in RMS, Ltd. and 1,334,372 shares of Class A Common Stock are held directly. Pursuant to a reclassification exempt under Rule 16b-7, each share of Class B common stock was reclassified and exchanged into 1.31 shares of Class A common stock. Reported as of 6/12/2017, the date the Reporting Person ceased to be subject to Section 16. Class B Common Stock was convertible to Class A Common Stock on a share-for-share basis, stock was convertible at any time - there was no fixed exercise date or expiration date. Mark R. Tepsich, Attorney-In-Fact for Samuel H. Miller 2018-02-14 EX-24 2 attachment1.htm EX-24 DOCUMENT

SEC FORMS 4 & 5

POWER OF ATTORNEY


The undersigned, designated by the Board of Directors as a Section 16
Company Insider, hereby constitutes and appoints Mark R. Tepsich, with
full power of substitution and resubstitution, as attorney of the
undersigned, their name, place and stead, to sign and file under the
Securities Exchange Act of 1934, Section 16 Reporting Forms, any and
all amendments and apply for EDGAR Access Codes as required thereto,
to be filed with the Securities and Exchange Commission pertaining
to such filing, with full power and authority to do and perform any
and all acts and things whatsoever required and necessary to be done
in the premises, hereby ratifying and approving the act of said attorney
and any such substitute.

EFFECTIVE as of March 5, 2016.


By:     \s\ Samuel H. Miller
Samuel H. Miller