UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
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 control number. |
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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
CNL LIFESTYLE PROPERTIES INC 450 SOUTH ORANGE AVENUE ORLANDO, FL 32801 |
 |  X |  |  |
/s/ CNL Lifestyle Properties, Inc., By: Tammy J. Tipton Chief Financial Officer | 04/17/2017 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | The Reporting Person acquired the shares reported in this Form 3 pursuant to a Purchase and Sale Agreement dated as of November 2, 2016 by and among the Reporting Person, the Issuer and certain other parties thereto, as disclosed by the Reporting Person in a Current Report on Form 8-K filed with the U.S. Securities and Exchange Commission (Commission) on November 2, 2016. In accordance with the Purchase and Sale Agreement, the Reporting Person's stockholders approved a sale of the remaining assets and plan of liquidation and dissolution. The Reporting Person will distribute the shares to the stockholders of record of the Reporting Person on or around April 20, 2017 as part of the dissolution of the Reporting Person. The Reporting Person disclaims beneficial ownership of the shares reported in this Form 3. |