SEC FORM 4 SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Duchossois Craig

(Last) (First) (Middle)
THE DUCHOSSOIS GROUP
845 LARCH AVENUE

(Street)
ELMHURST IL 60126

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
CHURCHILL DOWNS Inc [ CHDN ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
09/29/2017
4. If Amendment, Date of Original Filed (Month/Day/Year)
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. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction 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 Stock(1) 09/29/2017 A 107.299(2) A $0.0000 16,661.4428(3) D
Common Stock 1,000,000 I by CDI Holdings, LLC(4)
Common Stock 17,646 I CJD Revocable Trust
Common Stock 3,373 I The Chamberlain Group, Inc.(5)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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 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: 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
Explanation of Responses:
1. Phantom share units awarded in connection with the election to defer compensation. Each phantom share unit is the economic equivalent of one share of common stock. The shares of common stock are transferred upon the reporting persons completion of service as a director.
2. The closing price of CHDN common stock on September 29, 2017 was used to determine the number of phantom shares awarded.
3. The holding is comprised of restricted stock units granted for service as a director, phantom stock units granted in connection with a deferred compensation elections and dividends awarded for each unit.
4. The Duchossois Group, Inc. (TDG) is the sole member and manager of CDI Holdings LLC (Holdings). Craig Duchossois, by virtue of his relationship with TDG, may be deemed to beneficially own the shares of CHDN that are owned by Holdings and which TDG may be deemed to beneficially own. Craig Duchossois disclaims beneficial ownership with respect to the shares of CHDN owned by Holdings, except with respect to his pecuniary interest in such shares.
5. Craig Duchossois, by virtue of his relationship with The Chamberlain Group, Inc. and TDG, may be deemed to beneficially own the shares of CHDN that are owned by The Chamberlain Group, Inc. and which TDG may be deemed to beneficially own. Craig Duchossois disclaims beneficial ownership with respect to the shares of CHDN owned by The Chamberlain Group, Inc., except with respect to his pecuniary interest in such shares.
Paula Chumbley Attorney-in-Fact for Craig J. Duchossois 10/03/2017
** 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).
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