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