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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN 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. | |||
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. | SEC 1474 (9-02) |
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 Underlying Securities (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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Forward Contract (right/obligation to sell) | $ 0 | 03/07/2005 | J(1)(2)(3)(4)(5)(6) | 1 (1) (2) (3) (4) (5) (6) | (1)(2)(3)(4)(5)(6) | (1)(2)(3)(4)(5)(6) | Common Stock, $.01 par value per share | 99,098 | $ 0 | 1 | D | ||||
Forward Contract (right/obligation to sell) | $ 0 | 03/07/2005 | J(1)(2)(3)(4)(5)(6) | 1 (1) (2) (3) (4) (5) (6) | (1)(2)(3)(4)(5)(6) | (1)(2)(3)(4)(5)(6) | Common Stock, $.01 par value per share | 161,602 | $ 0 | 1 | I | By Avon Road Partners, LP (7) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
BERMAN ROBERT ALAN C/O MONTICELLO RACEWAY ROUTE 17B MONTICELLO, NY 12701 |
X | X | Chief Executive Officer |
/s/ Berman, Robert A. | 03/11/2005 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | On March 7, 2005, Robert A. Berman entered into a pre-paid variable forward sale contract (the "Contract") with Bear Stearns & Co., Inc ("Bear"). Pursuant to the Contract, Robert A. Berman pledged 260,700 shares of common stock of Empire Resorts, Inc., of which 99,098 shares are held directly by Robert A. Berman and 161,602 shares are held directly by Avon Road Partners, LP, with respect to which Mr. Berman is its general partner, to secure his obligation to deliver a maximum of 260,700 shares of common stock on or about March 7, 2009 (the "Settlement Date"). The 260,700 shares represent approximately 6% of the number of shares of common stock of Empire Resorts, Inc. beneficially held by Robert A. Berman. Thus, Mr. Berman will retain 94% of his prior pecuniary interest of Empire Resorts, Inc. |
(2) | Prior to the Settlement Date, Robert A. Berman retains voting control over the 260,700 shares subject to the Contract. Under the Contract, Robert A. Berman and Avon Road Partners, LP will receive on or about March 13, 2005 approximately $2,056,741, in proportion to each of their respective holdings, representing approximately 87% of the value of the 260,700 shares of common stock on March 11, 2005. Robert A. Berman may settle this Contract by a cash payment to Bear equal to the product of 260,700 and the market price of the common stock on the Settlement Date (the ''Settlement Price'') or by the delivery of shares of common stock on the Settlement Date as provided below. |
(3) | If the Settlement Price is at or above $12.69 per share (the "Ceiling Price"), Mr. Berman would be obligated to deliver on the Settlement Date that number of shares equal to the product of (a) 260,700 and (b) the ratio that is obtained by dividing the sum (x) $10.151 per share (the "Floor Price") and (y) the difference between the Settlement Price and the Ceiling Price, by the Settlement Price. |
(4) | If the Settlement Price is between the Floor Price and the Ceiling Price, Mr. Berman would be obligated to deliver on the Settlement Date that number of shares equal to the product of (a) 260,700 and (b) the ratio that is obtained by dividing the Floor Price by the Settlement Price. |
(5) | If the Settlement Price is at or below the Floor Price, Mr. Berman would be obligated to deliver 260,700 shares on the Settlement Date. |
(6) | The number of shares of common stock to be delivered by Mr. Berman is also subject to adjustment in the case of certain antidilutive and extraordinary events and the payment of dividends on the common stock. |
(7) | Robert A. Berman is the general partner of Avon Road Partners, LP. |