0001728951-23-000063.txt : 20230717
0001728951-23-000063.hdr.sgml : 20230717
20230717161539
ACCESSION NUMBER: 0001728951-23-000063
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230714
FILED AS OF DATE: 20230717
DATE AS OF CHANGE: 20230717
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: 231091775
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_168962492492559.xml
FORM 4
X0508
4
2023-07-14
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
0
Common Stock
2023-07-14
4
A
0
567
0
A
529419
D
Represents an adjustment to the shares subject to performance-based RSUs granted in 2020 which will vest on December 31, 2023 in connection with the payment of quarterly dividends to stockholders during 2023 pursuant to the terms and conditions of the underlying award agreement.
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 November 4, 2021.)
/s/ Timothy J. Earnshaw, attorney-in-fact
2023-07-17