Randall D. Sampson - Dec 31, 2021 Form 5 Insider Report for Canterbury Park Holding Corp (CPHC)

Role: President and CEO, Director, 10%+ Owner
Signature: Alex Scheinost by Power of Attorney for Randall D. Sampson
Stock symbol: CPHC
Transactions as of: Dec 31, 2021
Transactions value $: $0
Form type: 5
Date filed: 2/14/2022, 01:30 PM
Previous filing: Aug 4, 2021
Next filing: Mar 1, 2022

Transactions Table

Type	Sym	Class	Shares After	Date	Ownership	Footnotes
holding	CPHC	Common Stock	276K	Dec 31, 2021	Direct
holding	CPHC	Common Stock	3.4K	Dec 31, 2021	By 401(k) Plan	F1
holding	CPHC	Common Stock	667	Dec 31, 2021	By Trust	F2

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	Between January 1 and December 31, 2021, the reporting person acquired 442 shares of CPHC common stock under the CPHC 401(k) plan. The information in this report is based on a plan statement dated as of December 31, 2021.
F2	Held as of 12/31/21 by the Sampson Family Real Estate Holdings, LLC (SFREH), of which Mr. Sampson is the sole manager. Members of SFREH include the Marian Arlis Sampson 2012 Family Irrevocable Trust, the Curtis A. Sampson Family Trust, and the Randall D. Sampson GST Trust, of which Mr. Sampson is the grantor and his grandchildren are beneficiaries. Mr. Sampson and his children are among the beneficiaries of the Marian Arlis Sampson 2012 Family Irrevocable Trust and the Curtis A. Sampson Family Trust. Mr. Sampson disclaims beneficial ownership in membership interests of SFREH in which he has no pecuniary interest.

Content

Between January 1 and December 31, 2021, the reporting person acquired 442 shares of CPHC common stock under the CPHC 401(k) plan. The information in this report is based on a plan statement dated as of December 31, 2021.

Held as of 12/31/21 by the Sampson Family Real Estate Holdings, LLC (SFREH), of which Mr. Sampson is the sole manager. Members of SFREH include the Marian Arlis Sampson 2012 Family Irrevocable Trust, the Curtis A. Sampson Family Trust, and the Randall D. Sampson GST Trust, of which Mr. Sampson is the grantor and his grandchildren are beneficiaries. Mr. Sampson and his children are among the beneficiaries of the Marian Arlis Sampson 2012 Family Irrevocable Trust and the Curtis A. Sampson Family Trust. Mr. Sampson disclaims beneficial ownership in membership interests of SFREH in which he has no pecuniary interest.