0001728951-23-000010.txt : 20230118 0001728951-23-000010.hdr.sgml : 20230118 20230118201418 ACCESSION NUMBER: 0001728951-23-000010 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220413 FILED AS OF DATE: 20230118 DATE AS OF CHANGE: 20230118 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Seibert Gregg A CENTRAL INDEX KEY: 0001307830 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38530 FILM NUMBER: 23535696 MAIL ADDRESS: STREET 1: 902 CARNEGIE CENTER BLVD. STREET 2: SUITE 520 CITY: PRINCETON STATE: NJ ZIP: 08540 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ESSENTIAL PROPERTIES REALTY TRUST, INC. CENTRAL INDEX KEY: 0001728951 STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798] IRS NUMBER: 824005693 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 902 CARNEGIE CENTER BLVD. STREET 2: SUITE 520 CITY: PRINCETON STATE: NJ ZIP: 08540 BUSINESS PHONE: 6094360619 MAIL ADDRESS: STREET 1: 902 CARNEGIE CENTER BLVD. STREET 2: SUITE 520 CITY: PRINCETON STATE: NJ ZIP: 08540 4 1 wf-form4_167409084557330.xml FORM 4 X0306 4 2022-04-13 0 0001728951 ESSENTIAL PROPERTIES REALTY TRUST, INC. EPRT 0001307830 Seibert Gregg A 902 CARNEGIE CENTER BLVD. SUITE 520 PRINCETON NJ 08540 0 1 0 0 Executive VP and COO Common Stock 2022-04-13 4 A 0 395 0 A 255619 D Represents an adjustment to the shares subject to performance-based RSUs granted in 2019 and which vested on December 31, 2022 in connection with the payment of quarterly dividends to stockholders during 2022 pursuant to the terms and conditions of the underlying award agreement. Mr. Seibert retired from his position as the Company's Executive VP and COO effective June 25, 2022 Exhibit 24.1 - Power of Attorney (incorporated by reference to the Power of Attorney filed as Exhibit 24.1 to the Form 4 filed by the reporting person on January 11, 2022.) /s/ Timothy J. Earnshaw, attorney-in-fact 2023-01-18