UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13D
Under the Securities Exchange Act of 1934
(Amendment No. Two)*
Amerihost Properties, Inc.
(Name of Issuer)
Common Stock
(Title of Class of Securities)
03070-D-209
(CUSIP Number)
Michael P. Holtz
c/o Amerihost Properties, Inc.
2400 East Devon, Suite 280
Des Plaines, Illinois 60018
(847) 298-4500
(Name, Address and Telephone Number of Person Authorized to Receive Notices
and Communications)
December 2, 1996
(Date of Event which Requires Filing
of this Statement)
If the filing person has previously filed a statement on Schedule 13G to report
the acquisition which is the subject of this Schedule 13D, and is filing this
schedule because of Rule 13d-1(b)(3) or (4), check the following box / /.
Check the following box if a fee is being paid with the statement / /. (A fee
is not required only if the reporting person: (1) has a previous statement on
file reporting beneficial ownership of more than five percent of the class of
securities described in Item 1; and (2) has filed no amendment subsequent
thereto reporting beneficial ownership of five percent or less of such class.)
(See Rule 13d-7.)
Note: Six copies of this statement, including all exhibits, should be filed
with the Commission. See Rule 13d-1(a) for other parties to whom copies are to
be sent.
*The remainder of this cover page shall be filled out for a reporting person's
initial filing on this form with respect to the subject class of securities, and
for any subsequent amendment containing information which would alter
disclosures provided in a prior cover page.
The information required on 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).
SCHEDULE 13D
CUSIP No.
03070-D-209
1 NAMES OF REPORTING PERSONS S.S. OR
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS
Michael P. Holz; ###-##-####
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) //
(b) //
3 SEC USE ONLY
4 SOURCE OF FUNDS*
OO
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS //
PURSUANT TO ITEMS 2(d) or 2(e)
6 CITIZENSHIP OF PLACE OF ORGANIZATION
United States
NUMBER OF SHARES 7 SOLE VOTING POWER
BENEFICIALLY
OWNED 827,091
BY EACH
REPORTING 8 SHARED VOTING POWER
PERSON
WITH -0-
9 SOLE DISPOSITIVE POWER
827,091
10 SHARED DISPOSITIVE POWER
-0-
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
827,091
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW(11)
EXCLUDES CERTAIN SHARES*
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
12.6%
14 TYPE OF REPORTING PERSON*
IN
*SEE INSTRUCTIONS BEFORE FILLING OUT!
INCLUDE BOTH SIDES OF THE COVER PAGE, RESPONSES TO ITEMS 1-7
(INCLUDING EXHIBITS) OF THE SCHEDULE, AND THE SIGNATURE ATTESTATION.
Item 1. Security and Issuer.
Common Stock, par value $0.005 per share
Amerihost Properties, Inc. ("Amerihost")
2400 East Devon Avenue, Suite 280
Des Plaines, Illinois 60018
Item 2. Identity and Background.
(a) Name: Michael P. Holtz
(b) Business Address:
2400 East Devon Avenue
Suite 280
Des Plaines, Illinois 60018
(c) Mr. Holtz's principal occupation is being the chief executive
officer, president and a director of Amerihost and Amerihost's
subsidiary corporations.
(d) During the past five years, Mr. Holtz has not been convicted in a
criminal proceeding (excluding traffic violations and similar
misdemeanors).
(e) During the last five years Mr. Holtz has not been a party to a
civil proceeding of a judicial or administrative body of
competent jurisdiction as a result of which proceeding Mr. Holtz
was or is subject to (i) a judgment, decree or final order
enjoining future violations of, or prohibiting or mandating
activities subject to, federal or state securities laws or (ii) a
finding of any violation with respect to such laws.
(f) Mr. Holtz is a Citizen of the United States of America.
Item 3. Source and Amount of Funds or Other Considerations.
Mr. Holtz received a portion of the shares of Common Stock and all of
the options not previously reported as compensation for services rendered to
Amerihost. The remaining shares which were not previously reported were
purchased by Mr. Holtz with either (i) his personal funds; (ii) his personal
property; or (iii) through funds provided by Amerihost.
Item 4. Purpose of Transaction.
Those shares of Common Stock acquired by Mr. Holtz in a purchase or
exchange of property were made for investment purposes. The remaining shares
and the options were received by Mr. Holtz as compensation for services
rendered to Amerihost.
Mr. Holtz presently does not have any definite plans regarding an
extraordinary corporate transaction, such as a merger, reorganization or
liquidation, involving the Company or a sale or transfer of a material amount
of assets of the Company or any of its subsidiaries.
Mr. Holtz reserves the right to acquire additional shares of Common
Stock, to dispose of shares of Common Stock or to formulate other purposes,
plans or proposals deemed advisable regarding the Company.
Item 5. Interest in Securities of the Issuer.
(a) Mr. Holtz beneficially owns 827,091 shares of Common Stock of
Amerihost. Of these shares, Mr. Holtz owns (1) options to
purchase 530,000 shares directly; (2) 292,298 shares directly;
and (3) 4,739 shares on behalf of his minor children.
(b) Mr. Holtz has sole voting power and sole dispositive powers with
respect to all 827,091 shares of Common Stock he beneficially
owns.
(c) Mr. Holtz has had no transactions in the class of securities
reported on that were effected during the past sixty days.
(d) Not applicable.
(e) Not applicable.
Item 6. Contracts, Arrangements, Understanding or Relationships with Respect
to Securities of the Issuer.
Mr. Holtz is not a party to any contracts, arrangements,
understandings or relationships with respect to securities of Amerihost.
Item 7. Material to be filed as Exhibits.
None.
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.
December 2, 1996
/s/ Michael P. Holtz
Michael P. Holtz
