Statement of Changes in Beneficial Ownership (4)
04 Januar 2023 - 10:50PM
Edgar (US Regulatory)
FORM 4
[ ] Check this box if no longer subject to Section
16. Form 4 or Form 5 obligations may continue. See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL
OWNERSHIP OF SECURITIES
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OMB
APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response... 0.5 |
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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 * BORTZ
JON E |
2. Issuer Name and Ticker or Trading
Symbol Pebblebrook Hotel Trust [ PEB ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)__X__
Director _____
10% Owner
__X__ Officer (give title
below) _____ Other
(specify below)
Chairman, President and CEO |
(Last)
(First)
(Middle)
4747 BETHESDA AVE, SUITE 1100 |
3. Date of Earliest Transaction (MM/DD/YYYY)
1/1/2023
|
(Street)
BETHESDA, MD 20814
(City)
(State)
(Zip)
|
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
6. Individual or Joint/Group Filing
(Check Applicable Line) _X _ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person |
Table I - Non-Derivative Securities Acquired, Disposed of, or
Beneficially Owned
|
1.Title of Security
(Instr. 3) |
2. Trans. Date |
2A. Deemed Execution Date, if any |
3. Trans. Code
(Instr. 8) |
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5) |
5. Amount of Securities Beneficially Owned Following
Reported Transaction(s)
(Instr. 3 and 4) |
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4) |
7. Nature of Indirect Beneficial Ownership (Instr.
4) |
Code |
V |
Amount |
(A) or (D) |
Price |
Common Shares |
1/1/2023 |
|
F |
|
24655 (1) |
D |
$13.39 |
982175 |
D |
|
Common Shares |
|
|
|
|
|
|
|
200000 (2) |
I |
By wife |
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible
securities)
|
1. Title of Derivate Security
(Instr. 3) |
2. Conversion or Exercise Price of Derivative
Security |
3. Trans. Date |
3A. Deemed Execution Date, if any |
4. Trans. 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 |
7. Title and Amount of Securities Underlying
Derivative Security
(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) |
Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
LTIP Class B Units |
(3) |
|
|
|
|
|
|
(3) |
(3) |
Common Shares |
216035.0 |
|
216035 |
D |
|
Explanation of
Responses: |
(1) |
Represents Common Shares
sold to the Issuer as payment of tax withholding upon vesting of
49,787 Common Shares. |
(2) |
The reporting person
disclaims beneficial ownership of these shares held by an immediate
family member sharing his household, and this report should not be
deemed an admission that the reporting person is the beneficial
owner of such shares for purposes of Section 16 or for any other
purpose. |
(3) |
Represents units of limited
partnership interest ("LTIP Class B Units") in Pebblebrook Hotel,
L.P. (the "Operating Partnership"), of which the Issuer is the
general partner. Vested LTIP Class B Units, upon achieving parity
with the Operating Partnership units pursuant to the terms of the
partnership agreement, may be exchanged at any time, at the
election of the holder, for Operating Partnership units on a
one-for-one basis or, at the Operating Partnership's option, an
equivalent amount of cash. The LTIP Class B Units were issued
pursuant to the Issuer's 2009 Equity Incentive Plan as amended and
restated. |
Reporting
Owners
|
Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
BORTZ JON E
4747 BETHESDA AVE
SUITE 1100
BETHESDA, MD 20814 |
X |
|
Chairman, President and CEO |
|
Signatures
|
/s/ Andrew H. Dittamo, as attorney-in-fact, for
Jon E Bortz |
|
1/4/2023 |
**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 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). |
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 control number. |
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