0001209191-19-042805.txt : 20190719
0001209191-19-042805.hdr.sgml : 20190719
20190719174652
ACCESSION NUMBER: 0001209191-19-042805
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190717
FILED AS OF DATE: 20190719
DATE AS OF CHANGE: 20190719
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Mavoides Peter M.
CENTRAL INDEX KEY: 0001547475
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38530
FILM NUMBER: 19964256
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
doc4.xml
FORM 4 SUBMISSION
X0306
4
2019-07-17
0
0001728951
ESSENTIAL PROPERTIES REALTY TRUST, INC.
EPRT
0001547475
Mavoides Peter M.
902 CARNEGIE CENTER BLVD.
SUITE 520
PRINCETON
NJ
08540
1
1
0
0
President and CEO
OP Units
2019-07-17
4
J
0
488845
A
Common Stock
488845
D
The OP Units ("OP Units") are units of limited partnership interest issued by Essential Properties, L.P., a Delaware limited partnership and the entity through which Essential Properties Realty Trust, Inc. (the "Company") holds substantially all of its assets and conducts its operations. The OP Units are redeemable by the holder for cash or, at the Company's election, may be exchanged for shares of the Company's common stock at a one-to-one ratio, subject to anti-dilution adjustments.
The reporting person received these OP Units pursuant to a pro rata distribution made by EPRT Holdings, LLC ("EPRT Holdings"). The reporting person has a non-controlling equity interest in EPRT Holdings.
Exhibit 24.1 - Power of Attorney (incorporated by reference to the Power of Attorney filed as Exhibit 24.1 to the Form 3 filed by the reporting person on June 20, 2018)
/s/ Hillary P. Hai, attorney-in-fact
2019-07-19