0001209191-19-030785.txt : 20190517 0001209191-19-030785.hdr.sgml : 20190517 20190517144441 ACCESSION NUMBER: 0001209191-19-030785 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190516 FILED AS OF DATE: 20190517 DATE AS OF CHANGE: 20190517 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Czarnecki Christopher J CENTRAL INDEX KEY: 0001709616 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55774 FILM NUMBER: 19835264 MAIL ADDRESS: STREET 1: 800 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 2019-05-16 0 0001424182 Broadstone Net Lease, Inc. NA 0001709616 Czarnecki Christopher J 800 CLINTON SQUARE ROCHESTER NY 14604 1 1 0 0 CEO & President Common Stock 3472.157 D Common Stock 2019-05-16 4 J 0 13156.529 A 13156.529 I See footnote Includes 103.867 shares acquired through participation in the Broadstone Net Lease, Inc. Distribution Reinvestment Plan since the reporting person's last report reflecting ownership of Broadstone Net Lease, Inc. common stock. The regular reinvestment of distributions is exempt from reporting pursuant to Exchange Act Rule 16a-11. The reported shares are owned jointly with the reporting person's spouse, with respect to which the reporting person shares voting and investment power. The shares were transferred into the trust by the trust's grantor for no consideration. Shares held by the Elizabeth A. Czarnecki Revocable Trust, of which the reporting person is a trustee and beneficiary. The shares were previously held directly by the trust's grantor and were transferred into the trust. John D. Moragne, as Attorney-in-Fact 2019-05-17