- Amended Statement of Ownership (SC 13G/A)
February 04 2009 - 1:38PM
Edgar (US Regulatory)
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SECURITIES
AND EXCHANGE COMMISSION
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Washington,
D.C. 20549
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SCHEDULE
13G
Under
the Securities Exchange Act of 1934
(Amendment No. 7)*
Canterbury
Park Holding Corporation
(Name of Issuer)
Common stock, $.01 par value
(Title of Class of
Securities)
(CUSIP Number)
(Date of Event
That Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this
Schedule is filed:
o
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Rule 13d-1(b)
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x
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Rule 13d-1(c)
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o
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Rule 13d-1(d)
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*The remainder of this cover page shall be filled out for a reporting
persons initial filing on this form with respect to the subject class of
securities, and for any subsequent amendment containing information which would
alter the disclosures provided in a prior cover page.
The information required in the remainder of this cover page shall not
be deemed to be filed for the purpose of Section 18 of the Securities
Exchange Act of 1934 (Act) or otherwise subject to the liabilities of that
section of the Act but shall be subject to all other provisions of the Act
(however, see the Notes).
(Continued on following
page(s))
CUSIP No. 13811E 10 1
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1
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Name of Reporting Person:
I.R.S. Identification No. of above person (entities only):
Randall D. Sampson
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2
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Check the Appropriate Box if
a Member of a Group (See Instructions)
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(a)
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o
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(b)
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o
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3
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SEC Use Only
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4
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Citizenship or Place of Organization
United States
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Number of
Shares
Beneficially
Owned by
Each
Reporting
Person
With:
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5
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Sole Voting Power
266,988
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6
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Shared Voting Power
36,400
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7
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Sole Dispositive Power
266,988
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8
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Shared Dispositive Power
36,400
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9
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Aggregate Amount Beneficially Owned by Each Reporting
Person
303,388
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10
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Check Box if the Aggregate Amount in Row (9) Excludes
Certain Shares (See Instructions)
o
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11
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Percent of Class Represented by Amount in Row 9
7.57%
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12
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Type of Reporting Person (See Instructions)
IN
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2
Item 1.
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(a)
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Name of Issuer:
Canterbury Park Holding Corporation
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(b)
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Address of Issuers
Principal Executive Offices:
1100 Canterbury Road, Shakopee, Minnesota 55379
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Item 2.
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(a)
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Name of Person Filing:
Randall D. Sampson
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(b)
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Address of Principal
Business Office or, if none, Residence:
1100 Canterbury Road, Shakopee, Minnesota
55379
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(c)
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Citizenship:
United States
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(d)
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Title of Class of
Securities:
Common stock, $.01 par value
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(e)
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CUSIP Number:
13811E 10 1
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Item 3.
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If this statement is filed pursuant
to Rule 13d-1(b), or 13d-2(b), check whether the person filing is a:
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(a)
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o
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Broker or dealer
registered under section 15 of the Act.
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(b)
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o
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Bank as defined in section
3(a)(6) of the Act.
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(c)
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o
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Insurance company as
defined in section 3(a)(19) of the Act.
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(d)
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o
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Investment company
registered under section 8 of the Investment Company Act of 1940.
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(e)
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o
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Investment adviser in
accordance with §240.13d-1(b)(1)(ii)(E).
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(f)
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o
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Employee benefit plan or endowment
fund in accordance with §240.13d-1(b)(1)(ii)(F).
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(g)
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o
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Parent holding company, in
accordance with §240.13d-1(b)(ii)(G) (Note:
See Item 7).
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(h)
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o
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Savings association as
defined in Section 3(b) of the Federal Deposit Insurance Act.
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(i)
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o
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Church plan that is
excluded from the definition of an investment company under section 3(c)(14)
of the Investment Company Act of 1940.
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(j)
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o
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Group, in accordance with
§240.13d-1(b)(1)(ii)(J).
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3
Item 4.
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Ownership:
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(a)
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Amount beneficially
owned:
Mr. Sampson beneficially
owns 303,388 shares of the outstanding common stock of the Issuer, which
includes: (i) 191,488 shares of common stock owned by Mr. Sampson
individually; (ii) options held by Mr. Sampson and exercisable within 60 days
of December 31, 2008 to purchase 75,500 shares of common stock and (iii)
21,700 shares of common stock owned by Mr. Sampsons minor children and
14,700 shares owned jointly with Mr. Sampsons spouse, as to each of which
beneficial ownership is disclaimed.
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(b)
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Percent of class:
7.57% based on 3,930,483
shares of the Issuers common stock outstanding as of November 14, 2008 as
reported in the Issuers Quarterly Report on Form 10-Q for the quarter ended
September 30, 2008 and including all 303,388 shares that could be deemed to
be beneficially owned by Mr. Sampson.
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(c)
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The Reporting Person has
the power to vote or dispose of the shares as follows:
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(i)
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Sole power to vote or
direct the vote:
266,988 (includes options
held by Mr. Sampson and exercisable within 60 days of December 31, 2008 to
purchase 75,500 shares of common stock).
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(ii)
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Shared power to vote or
direct the vote:
36,400
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(iii)
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Sole power to dispose or
direct the disposition:
266,988 (includes options
exercisable within 60 days of December 31, 2008 to purchase 75,500 shares)
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(iv)
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Shared power to dispose or
direct the disposition:
36,400
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Item 5.
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Ownership of Five Percent or Less
of a Class:
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If this statement is being filed to report the fact
that as of the date hereof the reporting person has ceased to be the
beneficial owner of more than five percent of the class of securities, check
the following
o
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Item 6.
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Ownership of More than Five Percent
on Behalf of Another Person:
Not Applicable
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Item 7.
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Identification and Classification
of the Subsidiary Which Acquired the Security Reported on By the Parent
Holding Company:
Not Applicable
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Item 8.
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Identification and Classification
of Members of the Group:
Not Applicable
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Item 9.
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Notice of Dissolution of Group:
Not Applicable
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4
Item 10.
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Certification:
By signing below I certify
that, to the best of my knowledge and belief, the securities referred to
above were not acquired and are not held for the purpose of or with the
effect of changing or influencing the control of the issuer of securities and
were not acquired and are not held in connection with or as a participant in
any transaction having that purpose or effect.
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Signature
After reasonable inquiry and to the best of my knowledge and belief, I
certify that the information set forth in this statement is true, complete and
correct.
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February 2, 2009
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Date
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/s/ Randall D. Sampson
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Signature
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Randall D. Sampson
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Name/Title
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5
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