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- ------------------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION ------------------------------
FORM 3 Washington, D.C. 20549 OMB Approval
- ------------------------- INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES ------------------------------
OMB Number: 3235-0104
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Expires: December 31, 2001
Section 17(a) of the Public Utility Holding Company Act of 1935 or Estimated average burden
Section 30(f) of the Investment Company Act of 1940 hours per response.......0.5
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(Print or Type Responses)
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1. Name and Address of Reporting Person* 2. Date of Event Requiring 4. Issuer name and Ticker or Trading Symbol
Statement (Month/Day/Year)
Lodgian, Inc.
April 9, 1999 LOD
Posner Kenneth R. -----------------------------------------------------------------------------------------
------------------------------------ 3. I.R.S. Identification 5. Relationship of Reporting 6. If Amendment, Date of
(Last) (First) (Middle) Number of Reporting Person(s) to Issuer Original
Person, if an entity (Check all applicable) (Month/Day/Year)
c/o Lodgian, Inc. (Voluntary)
3445 Peachtree Road, N.E., Suite 700 [ ] Director
------------------------------------ [X] Officer ----------------------------
(Street) (give title below) 7. Individual or Joint/Group
[ ] 10% Owner Filing
[ ] Other (Check Applicable Line)
Atlanta GA 30326 (specify below) [X] Form Filed by One
------------------------------------ Reporting Person
(City) (State) (Zip) Chief Financial Officer [ ] Form Filed by More
and Executive Vice President than One Reporting
---------------------------- Person
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TABLE I -- NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED
<S> <C> <C> <C>
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1. Title of Security 2. Amount of Securities 3. Ownership Form: Direct (D) 4. Nature of Indirect
(Instr. 4) Beneficially Owned or Indirect (I) (Instr. 5) Beneficial Ownership
(Instr. 4) (Instr. 5)
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Common Stock, par value $.01 per share 10,000 D
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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).
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FORM 3 (CONTINUED)
TABLE II-- DERIVATIVE SECURITIES BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
<S> <C> <C> <C> <C> <C>
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1. Title of 2. Date Exer- 3. Title and Amount of 4. Conversion or 5. Ownership 6. Nature of
Derivative cisable and Securities Underlying Exercise Price Form of Indirect
Security Expiration Derivative Security of Derivative Derivative Beneficial
(Instr. 4) Date (Instr. 4) Security Security: Ownership
(Month/Day/Year) Direct (D) or (Instr. 5)
Indirect (I)
(Instr. 5)
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Date Expira- Title Amount or
Exer- tion Number of
cisable Date Shares
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Option to Purchase
Common Stock 4/9/00 4/9/10 Common Stock 80,000 $5.00 D
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Option to Purchase
Common Stock 4/9/01 4/9/11 Common Stock 80,000 $5.00 D
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Option to Purchase
Common Stock 4/9/02 4/9/12 Common Stock 80,000 $5.00 D
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Option to Purchase
Common Stock 4/9/03 4/9/13 Common Stock 80,000 $5.00 D
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Option to Purchase
Common Stock 4/9/04 4/9/14 Common Stock 80,000 $5.00 D
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Explanation of Responses:
** 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 /s/ Kenneth R. Posner October 15, 1999
signed. If space is insufficient, see Instruction 6 for ------------------------------------ -------------------
procedure. Kenneth R. Posner Date
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