FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 11/12/2013 |
3. Issuer Name and Ticker or Trading Symbol
Extended Stay America, Inc. [ STAY ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Paired Shares | 10,493,278 | I | See footnotes(1)(2)(16)(17)(18) |
Paired Shares | 12,858,235 | I | See footnotes(1)(3)(16)(17)(18) |
Paired Shares | 4,504,282 | I | See footnotes(1)(4)(16)(17)(18) |
Paired Shares | 13,435,126 | I | See footnotes(1)(5)(16)(17)(18) |
Paired Shares | 13,430,118 | I | See footnotes(1)(6)(16)(17)(18) |
Paired Shares | 899,742 | I | See footnotes(1)(7)(16)(17)(18) |
Paired Shares | 90,810 | I | See footnotes(1)(8)(16)(17)(18) |
Series A Preferred Stock of Extended Stay America, Inc. | 1,325 | I | See footnotes(9)(16)(17)(18) |
Series A Preferred Stock of Extended Stay America, Inc. | 1,624 | I | See footnotes(10)(16)(17)(18) |
Series A Preferred Stock of Extended Stay America, Inc. | 569 | I | See footnotes(11)(16)(17)(18) |
Series A Preferred Stock of Extended Stay America, Inc. | 1,696 | I | See footnotes(12)(16)(17)(18) |
Series A Preferred Stock of Extended Stay America, Inc. | 1,696 | I | See footnotes(13)(16)(17)(18) |
Series A Preferred Stock of Extended Stay America, Inc. | 114 | I | See footnotes(14)(16)(17)(18) |
Series A Preferred Stock of Extended Stay America, Inc. | 11 | I | See footnotes(15)(16)(17)(18) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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Explanation of Responses: |
1. Each Paired Share is comprised of one share of common stock, par value $0.01 per share, of Extended Stay America, Inc. and one share of Class B Common Stock, par value $0.01 per share, of ESH Hospitality, Inc., which shares are paired and traded as a single unit. A Form 3 reflecting the holdings of Paired Shares by the Reporting Persons shown on this Form 3 has been concurrently filed with respect to ESH Hospitality, Inc. as issuer. |
2. These Paired Shares are directly held by Centerbridge Credit Partners, L.P. |
3. These Paired Shares are directly held by Centerbridge Credit Partners TE Intermediate I, L.P. |
4. These Paired Shares are directly held by Centerbridge Credit Partners Offshore Intermediate III, L.P. |
5. These Paired Shares are directly held by Centerbridge Capital Partners AIV VI-A, L.P. |
6. These Paired Shares are directly held by Centerbridge Capital Partners AIV VI-B, L.P. |
7. These Paired Shares are directly held by Centerbridge Capital Partners Strategic AIV I, L.P. |
8. These Paired Shares are directly held by Centerbridge Capital Partners SBS, L.P. |
9. These shares of voting Series A Preferred Stock of Extended Stay America, Inc. ("Preferred Stock") are directly held by Centerbridge Credit Partners, L.P. |
10. These shares of Preferred Stock are directly held by Centerbridge Credit Partners TE Intermediate I, L.P. |
11. These shares of Preferred Stock are directly held by Centerbridge Credit Partners Offshore Intermediate III, L.P. |
12. These shares of Preferred Stock are directly held by Centerbridge Capital Partners AIV VI-A, L.P. |
13. These shares of Preferred Stock are directly held by Centerbridge Capital Partners AIV VI-B, L.P. |
14. These shares of Preferred Stock are directly held by Centerbridge Capital Partners Strategic AIV I, L.P. |
15. These shares of Preferred Stock are directly held by Centerbridge Capital Partners SBS, L.P. |
16. Centerbridge Credit Partners General Partner, L.P. is the general partner of Centerbridge Credit Partners, L.P. and Centerbridge Credit Partners TE Intermediate I, L.P. Centerbridge Credit GP Investors, L.L.C. is the general partner of Centerbridge Credit Partners General Partner, L.P. Centerbridge Credit Partners Offshore General Partner, L.P. is the general partner of Centerbridge Credit Partners Offshore Intermediate III, L.P. Centerbridge Credit Offshore GP Investors, L.L.C. is the general partner of Centerbridge Credit Partners Offshore General Partner, L.P. Centerbridge Associates, L.P. is the general partner of Centerbridge Capital Partners AIV VI-A, L.P., Centerbridge Capital Partners AIV VI-B, L.P., Centerbridge Capital Partners Strategic AIV I, L.P. and Centerbridge Capital Partners SBS, L.P. Centerbridge GP Investors, LLC is the general partner of Centerbridge Associates, L.P. (Continued in footnote 17) |
17. Jeffrey H. Aronson and Mark T. Gallogly, the managing members of Centerbridge Credit GP Investors, L.L.C., Centerbridge Credit Offshore GP Investors, L.L.C. and Centerbridge GP Investors, LLC, share the power to vote and invest the Paired Shares and shares of Preferred Stock held by Centerbridge Credit Partners, L.P., Centerbridge Credit Partners TE Intermediate I, L.P., Centerbridge Credit Partners Offshore Intermediate III, L.P., Centerbridge Capital Partners AIV VI-A, L.P., Centerbridge Capital Partners AIV VI-B, L.P., Centerbridge Capital Partners Strategic AIV I, L.P. and Centerbridge Capital Partners SBS, L.P. Each of Messrs. Aronson and Gallogly disclaims beneficial ownership of such securities. |
18. Due to the limitations of the Securities and Exchange Commission's EDGAR system, Centerbridge Credit Partners General Partner, L.P., Centerbridge Credit GP Investors, L.L.C., Centerbridge Credit Partners Offshore General Partner, L.P., Centerbridge Credit Offshore GP Investors, L.L.C., Centerbridge Associates, L.P., Centerbridge GP Investors, LLC, Jeffrey H. Aronson and Mark T. Gallogly have filed a separate Form 3. |
Centerbridge Credit Partners, L.P.; By: Centerbridge Credit Partners General Partner, L.P., its general partner; By: Centerbridge Credit GP Investors, L.L.C., its general partner; By: /s/ Mark T. Gallogly, Authorized Signatory | 11/12/2013 | |
Centerbridge Credit Partners TE Intermediate I, L.P.; By: Centerbridge Credit Partners General Partner, L.P., its general partner; By: /s/ Mark T. Gallogly, Authorized Signatory | 11/12/2013 | |
Centerbridge Credit Partners Offshore Intermediate III, L.P.; By: Centerbridge Credit Partners Offshore General Partner, L.P., its general partner; By: /s/ Mark T. Gallogly, Authorized Signatory | 11/12/2013 | |
Centerbridge Capital Partners AIV VI-A, L.P.; By: Centerbridge Associates, L.P., its general partner; By: /s/ Mark T. Gallogly, Authorized Signatory | 11/12/2013 | |
Centerbridge Capital Partners AIV VI-B, L.P.; By: Centerbridge Associates, L.P., its general partner; By: /s/ Mark T. Gallogly, Authorized Signatory | 11/12/2013 | |
Centerbridge Capital Partners Strategic AIV I, L.P.; By: Centerbridge Associates, L.P., its general partner; By: /s/ Mark T. Gallogly, Authorized Signatory | 11/12/2013 | |
Centerbridge Capital Partners SBS, L.P.; By: Centerbridge Associates, L.P., its general partner; By: /s/ Mark T. Gallogly, Authorized Signatory | 11/12/2013 | |
** 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 5 (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). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |