0001618563-21-000009.txt : 20210208
0001618563-21-000009.hdr.sgml : 20210208
20210208161044
ACCESSION NUMBER: 0001618563-21-000009
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201231
FILED AS OF DATE: 20210208
DATE AS OF CHANGE: 20210208
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Nordhagen Arlen Dale
CENTRAL INDEX KEY: 0001639326
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37351
FILM NUMBER: 21601512
MAIL ADDRESS:
STREET 1: 5200 DTC PARKWAY
STREET 2: STE 200
CITY: GREENWOOD VILLAGE
STATE: CO
ZIP: 80111
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: National Storage Affiliates Trust
CENTRAL INDEX KEY: 0001618563
STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798]
IRS NUMBER: 465053858
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 8400 E. PRENTICE AVENUE
STREET 2: 9TH FLOOR
CITY: GREENWOOD VILLAGE
STATE: CO
ZIP: 80111
BUSINESS PHONE: 720-630-2600
MAIL ADDRESS:
STREET 1: 8400 E. PRENTICE AVENUE
STREET 2: 9TH FLOOR
CITY: GREENWOOD VILLAGE
STATE: CO
ZIP: 80111
5
1
wf-form5_161281862972681.xml
FORM 5
X0306
5
2020-12-31
0
0
0
0001618563
National Storage Affiliates Trust
NSA
0001639326
Nordhagen Arlen Dale
C/O NATIONAL STORAGE AFFILIATES TRUST
8400 EAST PRENTICE AVENUE, 9TH FLOOR
GREENWOOD VILLAGE
CO
80111
1
1
0
0
Executive Chairman
Common shares of beneficial interest, $0.01 par value
2020-06-09
5
G
0
8000
0
D
4475470
D
Common shares of beneficial interest, $0.01 par value
2020-12-16
5
G
0
22500
0
D
4346851
D
Common shares of beneficial interest, $0.01 par value
2020-12-22
5
G
0
100000
0
D
4246851
D
Common shares of beneficial interest, $0.01 par value
2020-12-29
5
G
0
20000
0
D
4226851
D
Reflects the transfer of common shares of beneficial interest of National Storage Affiliates Trust ("Shares") as a bona fide gift to nonprofit tax-exempt organizations under section 501(c)(3) of the internal revenue code ("501(c)(3) charitable organizations").
Excludes 106,119 Shares that the Reporting Person contributed to SecurCare Bonus Pool, LLC ("Bonus Pool") on March 31, 2020, as previously reported on the Reporting Person's Form 4 dated April 1, 2020. On October 17, 2020, the Reporting Person resigned as a manager of Bonus Pool and is no longer a controlling person of Bonus Pool and does not have or share voting or investment power over the portfolio of Bonus Pool.
Reflects the transfer of Shares as a bona fide gift to an irrevocable charitable trust.
Reflects the transfer of Shares as a bona fide gift to an irrevocable family trust.
The Reporting Person's total direct and indirect ownership of Shares following the transactions reported in the table above is 4,226,851 Shares, which includes those Shares previously reported. The 4,226,851 Shares do not include derivative securities of the Reporting Person that have been reported on the Reporting Person's Forms 3 and Forms 4. Of those 4,226,851 Shares previously reported and reported herein, 170,000 Shares held directly by the Reporting Person were transferred on December 24, 2020 to Nordhagen LLLP, an entity in which the Reporting Person has or shares voting and/or investment power, in a transaction that effects only a change in the form of beneficial ownership without changing the Reporting Person's pecuniary interest in such Shares.
This filing shall not be deemed to be an admission that the Reporting Person is the beneficial owner of any of the securities reported herein, and the Reporting Person disclaims beneficial ownership of such securities except to the extent of the Reporting Person's pecuniary interest therein.
Arlen Dale Nordhagen, by Jason Parsont, his Attorney-in-fact
2021-02-08