0001140361-16-054920.txt : 20160225 0001140361-16-054920.hdr.sgml : 20160225 20160225175231 ACCESSION NUMBER: 0001140361-16-054920 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150811 FILED AS OF DATE: 20160225 DATE AS OF CHANGE: 20160225 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Community Healthcare Trust Inc CENTRAL INDEX KEY: 0001631569 STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798] IRS NUMBER: 465212033 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 354 COOL SPRINGS BLVD. STREET 2: SUITE 106 CITY: FRANKLIN STATE: TN ZIP: 37067 BUSINESS PHONE: 615-771-3052 MAIL ADDRESS: STREET 1: 354 COOL SPRINGS BLVD. STREET 2: SUITE 106 CITY: FRANKLIN STATE: TN ZIP: 37067 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Van Horn R. Lawrence CENTRAL INDEX KEY: 0001641475 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-37401 FILM NUMBER: 161457190 MAIL ADDRESS: STREET 1: 354 COOL SPRINGS BLVD. STREET 2: SUITE 106 CITY: FRANKLIN STATE: TN ZIP: 37067 4/A 1 doc1.xml FORM 4/A X0306 4/A 2015-08-11 2015-08-13 0 0001631569 Community Healthcare Trust Inc CHCT 0001641475 Van Horn R. Lawrence C/O COMMUNITY HEALTHCARE TRUST INCORPORA 354 COOL SPRINGS BLVD., SUITE 106 FRANKLIN TN 37067 1 0 0 0 Common Stock 2015-08-11 4 A 0 1316 0.00 A 1316 D Common Stock 2015-08-11 4 A 0 2737 19.00 A 4053 D The reporting person received shares of common stock of the Company upon such reporting person's appointment to the board of directors of the Company (the "Board"). For 2015, the reporting person elected to take 100% of their Board retainer in the form of shares of restricted stock with a three-year restriction period. Because the reporting person elected to take their Board retainer for 2015 in these shares of restricted stock in lieu of cash, the Company awarded them additional shares of restricted stock, equal to 60% of their Board retainer. The price of the securities acquired by the reporting person with respect to the Board retainer is based on the Company's public offering price of $19.00. The number of securities issued is equal to the total Board retainer, including the additional compensation, divided by such public offering price. /s/ Christopher Douse, Attorney-in-Fact 2016-02-25