# EDGAR Filing Document

**Accession Number:** 0001042527
**File Stem:** 0001672909-23-000003
**Filing Date:** 2023-3
**Character Count:** 8152
**Document Hash:** 99710bc64e1296012b8f4ece39fd1b1e
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001672909-23-000003.hdr.sgml**: 20230302

**ACCESSION NUMBER**: 0001672909-23-000003

**CONFORMED SUBMISSION TYPE**: 4

**PUBLIC DOCUMENT COUNT**: 1

**CONFORMED PERIOD OF REPORT**: 20230216

**FILED AS OF DATE**: 20230302

**DATE AS OF CHANGE**: 20230302

**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** SAMPSON RANDALL D
- **CENTRAL INDEX KEY:** 0001042527

**FILING VALUES:**
- **FORM TYPE:** 4
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-37858
- **FILM NUMBER:** 23698061

**MAIL ADDRESS:**
- **STREET 1:** 1100 CANTERBURY ROAD
- **CITY:** SHAKOPEE
- **STATE:** MN
- **ZIP:** 55379
**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** Sampson Family Real Estate Holdings, LLC
- **CENTRAL INDEX KEY:** 0001904182
- **STATE OF INCORPORATION:** MN
- **FISCAL YEAR END:** 1231

**FILING VALUES:**
- **FORM TYPE:** 4
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-37858
- **FILM NUMBER:** 23698060

**BUSINESS ADDRESS:**
- **STREET 1:** 930 LAKE SUSAN HILLS DR.
- **CITY:** CHANHASSEN
- **STATE:** MN
- **ZIP:** 55317
- **BUSINESS PHONE:** (952) 496-6429

**MAIL ADDRESS:**
- **STREET 1:** 930 LAKE SUSAN HILLS DR.
- **CITY:** CHANHASSEN
- **STATE:** MN
- **ZIP:** 55317
**ISSUER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** Canterbury Park Holding Corp
- **CENTRAL INDEX KEY:** 0001672909
- **STANDARD INDUSTRIAL CLASSIFICATION:** SERVICES-RACING, INCLUDING TRACK OPERATION [7948]
- **IRS NUMBER:** 475349765
- **STATE OF INCORPORATION:** MN
- **FISCAL YEAR END:** 1231

**BUSINESS ADDRESS:**
- **STREET 1:** 1100 CANTERBURY ROAD S.
- **CITY:** SHAKOPEE
- **STATE:** MN
- **ZIP:** 55379
- **BUSINESS PHONE:** (952) 445-7223

**MAIL ADDRESS:**
- **STREET 1:** 1100 CANTERBURY ROAD S.
- **CITY:** SHAKOPEE
- **STATE:** MN
- **ZIP:** 55379

**FORMER COMPANY:**
- **FORMER CONFORMED NAME:** New Canterbury Park Holding Corp
- **DATE OF NAME CHANGE:** 20160422

### UNITED STATES SECURITIES AND EXCHANGE COMMISSION
**Washington, D.C. 20549**

## FORM 4

### STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

[ ] Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.

---

| | | |
|:---|:---|:---|
| **1. Name and Address of Reporting Person**<sup>*</sup><br>SAMPSON RANDALL D<br><sub>(Last) (First) (Middle)</sub><br>1100 CANTERBURY ROAD<br><sub>(Street)</sub><br>SHAKOPEE, MN 55379<br><sub>(City) (State) (Zip)</sub> | **3. Date of Earliest Transaction (Month/Day/Year)**<br>2023-02-16 | **5. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[X] Director [X] 10% Owner<br>[X] Officer (give title below) [ ] Other (specify below)<br>_President & CEO_ |
| **2. Issuer Name and Ticker or Trading Symbol**<br>Canterbury Park Holding Corp [ CPHC ] | **4. If Amendment, Date of Original Filed (Month/Day/Year)**<br>  | **6. Individual or Joint/Group Filing (Check Applicable Line)**<br>[ ] Form filed by One Reporting Person<br>[X] Form filed by More than One Reporting Person |

---

---

| | | |
|:---|:---|:---|
| **1. Name and Address of Reporting Person**<sup>*</sup><br>Sampson Family Real Estate Holdings, LLC<br><sub>(Last) (First) (Middle)</sub><br>930 LAKE SUSAN HILLS DR.<br><sub>(Street)</sub><br>CHANHASSEN, MN 55317<br><sub>(City) (State) (Zip)</sub> | **3. Date of Earliest Transaction (Month/Day/Year)**<br>2023-02-16 | **5. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[ ] Director [X] 10% Owner<br>[ ] Officer (give title below) [ ] Other (specify below)<br>_ _ |
| **2. Issuer Name and Ticker or Trading Symbol**<br>Canterbury Park Holding Corp [ CPHC ] | **4. If Amendment, Date of Original Filed (Month/Day/Year)**<br>  | **6. Individual or Joint/Group Filing (Check Applicable Line)**<br>[ ] Form filed by One Reporting Person<br>[X] Form filed by More than One Reporting Person |

---

## Table I - Non-Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | 3. Transaction Code (V) | 3. Transaction Code (V) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | Code | V | Amount | (A) or (D) | Price | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| Common Stock | 2023-02-16 |  | F |  | 359<sup>(1)</sup> | D | $25.7 | 278636 | D |  |
| Common Stock | 2023-02-17 |  | F |  | 646<sup>(1)</sup> | D | $25.57 | 277990 | D |  |
| Common Stock |  |  |  |  |  |  |  | 3837 | I | By 401(k) Plan |
| Common Stock |  |  |  |  |  |  |  | 667387 | I<sup>(2)</sup> | By Trust |

---

## Table II - Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | 4. Transaction Code (V) | 4. Transaction Code (V) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 6. Date Exercisable and Expiration Date | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Underlying Securities | 7. Title and Amount of Underlying Securities | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |

---

### Footnotes:

(1) The reporting person has elected to satisfy his tax withholding obligation in connection with the vesting of a prior deferred stock grant by directing the Company to withhold shares otherwise issuable pursuant to the previously reported grant.

(2) Held 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.

**Signature:** Alex Lorman by Power of Attorney for Randall D. Sampson  
**Date:** 2023-03-02

### Remarks:

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 Number.**