0001209191-20-008002.txt : 20200210
0001209191-20-008002.hdr.sgml : 20200210
20200210170316
ACCESSION NUMBER: 0001209191-20-008002
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200207
FILED AS OF DATE: 20200210
DATE AS OF CHANGE: 20200210
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TAIT AMY L
CENTRAL INDEX KEY: 0001142301
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-55774
FILM NUMBER: 20592816
MAIL ADDRESS:
STREET 1: C/O HOME PROPERTIES
STREET 2: 850 CLINTON SQUARE
CITY: ROCHESTER
STATE: NY
ZIP: 14604
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Broadstone Net Lease, Inc.
CENTRAL INDEX KEY: 0001424182
STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798]
IRS NUMBER: 000000000
STATE OF INCORPORATION: MD
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 800 CLINTON SQUARE
CITY: Rochester
STATE: NY
ZIP: 14604
BUSINESS PHONE: 585-287-6500
MAIL ADDRESS:
STREET 1: 800 CLINTON SQUARE
CITY: Rochester
STATE: NY
ZIP: 14604
FORMER COMPANY:
FORMER CONFORMED NAME: Broadstone Net Lease Inc
DATE OF NAME CHANGE: 20080116
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2020-02-07
0
0001424182
Broadstone Net Lease, Inc.
NA
0001142301
TAIT AMY L
800 CLINTON SQUARE
ROCHESTER
NY
14604
1
0
0
0
Common Stock
2020-02-07
4
A
0
191694.1
85.00
A
269724.031
D
Common Stock
13953.931
I
By Spouse
Common Stock
31925
I
By Limited Liability Company
Common Stock
56993.653
I
By Family Limited Liability Company
Common Stock
2353
I
By Trust
Common Stock
2353
I
By Trust
OP Units
2020-02-07
4
A
0
289326.86
A
Common Stock
289326.86
289326.86
D
OP Units
2020-02-07
4
A
0
499423.59
A
Common Stock
499423.59
499423.59
I
By Limited Liability Company
OP Units
2020-02-07
4
A
0
9201.32
A
Common Stock
9201.32
9201.32
I
By Trust
OP Units
2020-02-07
4
A
0
9201.32
A
Common Stock
9201.32
9201.32
I
By Trust
These securities are owned directly by the reporting person.
The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for any purpose.
Securities held by a limited liability company with respect to which the reporting person and her spouse have shared voting and investment power.
Securities held by a family limited liability company with respect to which the reporting person has shared voting and investment power.
Securities held by irrevocable trust for benefit of reporting person's child.
Represents membership units of Broadstone Net Lease, LLC (the "OP"), a subsidiary and the operating company of the Issuer ("OP Units"). OP Units are exchangeable by the reporting person for shares of Common Stock of the Issuer on a one-for-one basis.
Consists of OP Units received in connection with the closing of the internalization of the functions previously performance for the Issuer by Broadstone Real Estate LLC. These OP Units are fully vested.
/s/ John D. Moragne, as Attorney-in-fact
2020-02-10