0001209191-21-016969.txt : 20210303
0001209191-21-016969.hdr.sgml : 20210303
20210303170106
ACCESSION NUMBER: 0001209191-21-016969
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210301
FILED AS OF DATE: 20210303
DATE AS OF CHANGE: 20210303
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: 001-39529
FILM NUMBER: 21710119
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
2021-03-01
0
0001424182
Broadstone Net Lease, Inc.
BNL
0001709616
Czarnecki Christopher J
800 CLINTON SQUARE
ROCHESTER
NY
14604
1
1
0
0
CEO & President
Common Stock
2021-03-01
4
A
0
42988
0.00
A
262182
D
Common Stock
54881
I
By Trust
Class A Common Stock
6000
D
Reflects shares of restricted stock awarded to the Reporting Person on March 1, 2021, pursuant to the Broadstone Net Lease, Inc. 2020 Omnibus Equity and Incentive Plan. Such shares of restricted stock vest ratably on each of the first, second, third, and fourth anniversaries of February 28, 2021.
This amount includes 111,280 shares of unvested restricted stock.
The reported shares are owned jointly with the reporting person's spouse, with respect to which the reporting person shares voting and investment power.
Shares held by a trust, of which the reporting person is a trustee and beneficiary.
Each share of the Issuer's Class A Common Stock will automatically convert to one share of the Issuer's Common Stock on March 20, 2021, the date that is 180 days after the completion of the initial public offering of the Issuer's Class A Common Stock.
John D. Moragne, as Attorney-in-Fact
2021-03-03