0000899243-21-006396.txt : 20210212 0000899243-21-006396.hdr.sgml : 20210212 20210212200356 ACCESSION NUMBER: 0000899243-21-006396 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201231 FILED AS OF DATE: 20210212 DATE AS OF CHANGE: 20210212 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PLAVIN STEPHEN D CENTRAL INDEX KEY: 0001120283 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14788 FILM NUMBER: 21631302 MAIL ADDRESS: STREET 1: OMEGA HEALTHCARE INVESTORS INC STREET 2: 900 VICTORS WAY SUITE 350 CITY: ANN ARBOR STATE: MI ZIP: 48108 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BLACKSTONE MORTGAGE TRUST, INC. CENTRAL INDEX KEY: 0001061630 STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798] IRS NUMBER: 946181186 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 345 PARK AVENUE STREET 2: 15TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10154 BUSINESS PHONE: 2126550220 MAIL ADDRESS: STREET 1: 345 PARK AVENUE STREET 2: 15TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10154 FORMER COMPANY: FORMER CONFORMED NAME: CAPITAL TRUST INC DATE OF NAME CHANGE: 19980512 5 1 doc5.xml FORM 5 SUBMISSION X0306 5 2020-12-31 0 0 0 0001061630 BLACKSTONE MORTGAGE TRUST, INC. BXMT 0001120283 PLAVIN STEPHEN D C/O BLACKSTONE MORTGAGE TRUST, 345 PARK AVE NEW YORK NY 10154 1 1 0 0 CEO Class A Common Stock 314208 D Class A Common Stock 2020-12-31 5 G 0 92117 0.00 D 93047 I See Footnote Class A Common Stock 2020-12-31 5 G 0 92117 0.00 A 93047 I See Footnote For estate planning purposes, the Reporting Person gifted interests in the limited liability company described herein to a trust for the benefit of the Reporting Person's family, of which the Reporting Person's spouse is the trustee. No shares of Class A common stock of the Issuer ("Class A Common Stock") were transferred by this gift. The limited liability company continues to directly hold 93,047 shares of Class A Common Stock after the gift reported herein. The amount reported in Table I as being disposed of represents the indirect interest in Class A Stock gifted to the trust. Reflects 93,047 shares of Class A Common Stock previously held directly by the Reporting Person that were transferred to a limited liability company, of which the Reporting Person is the manager and was the sole member. Reflects securities held by a limited liability company, of which the Reporting Person is the manager. The Reporting Person disclaims beneficial ownership of the securities reported herein as indirectly beneficially owned, except to the extent of his pecuniary interest therein. /s/ Anthony F. Marone, Jr., Attorney-In-Fact 2021-02-12