0001104659-19-000211.txt : 20190102
0001104659-19-000211.hdr.sgml : 20190102
20190102181334
ACCESSION NUMBER: 0001104659-19-000211
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20181231
FILED AS OF DATE: 20190102
DATE AS OF CHANGE: 20190102
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BLACKMAN DAVID M.
CENTRAL INDEX KEY: 0001465427
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35442
FILM NUMBER: 19503025
MAIL ADDRESS:
STREET 1: C/O THE RMR GROUP LLC
STREET 2: TWO NEWTON PL., 255 WASH. ST., STE. 300
CITY: NEWTON
STATE: MA
ZIP: 02458
FORMER NAME:
FORMER CONFORMED NAME: Blackman David M
DATE OF NAME CHANGE: 20090602
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: SELECT INCOME REIT
CENTRAL INDEX KEY: 0001537667
STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798]
IRS NUMBER: 000000000
STATE OF INCORPORATION: MD
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: C/O THE RMR GROUP
STREET 2: TWO NEWTON PL., 255 WASH. ST., STE. 300
CITY: NEWTON
STATE: MA
ZIP: 02458
BUSINESS PHONE: (617) 796-8303
MAIL ADDRESS:
STREET 1: C/O THE RMR GROUP
STREET 2: TWO NEWTON PL., 255 WASH. ST., STE. 300
CITY: NEWTON
STATE: MA
ZIP: 02458
FORMER COMPANY:
FORMER CONFORMED NAME: Select Income REIT
DATE OF NAME CHANGE: 20111219
4
1
a4.xml
4
X0306
4
2018-12-31
1
0001537667
SELECT INCOME REIT
NASDAQ:SIR
0001465427
BLACKMAN DAVID M.
C/O THE RMR GROUP LLC,
TWO NEWTON PL., 255 WASH. ST., STE. 300
NEWTON
MA
02458
1
1
0
0
President and CEO
Common Shares of Beneficial Interest
2018-12-31
4
D
0
40801
0
D
0
D
Disposed of pursuant to the Agreement and Plan of Merger, dated as of September 14, 2018, by and among Government Properties Income Trust ("GOV"), GOV MS REIT, a wholly owned subsidiary of GOV, and the issuer in exchange for 42,433 GOV common shares of beneficial interest having a market value of $6.87 per share on the effective date of the merger of the issuer with and into GOV MS REIT, based on the closing price of GOV's common shares of beneficial interest on such effective date, plus cash in lieu of fractional shares.
/s/ David M. Blackman
2019-01-02