0001140361-17-025641.txt : 20170620
0001140361-17-025641.hdr.sgml : 20170620
20170620205547
ACCESSION NUMBER: 0001140361-17-025641
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170620
FILED AS OF DATE: 20170620
DATE AS OF CHANGE: 20170620
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: 3326 ASPEN GROVE DRIVE
STREET 2: SUITE 150
CITY: FRANKLIN
STATE: TN
ZIP: 37067
BUSINESS PHONE: 615-771-3052
MAIL ADDRESS:
STREET 1: 3326 ASPEN GROVE DRIVE
STREET 2: SUITE 150
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
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37401
FILM NUMBER: 17921873
MAIL ADDRESS:
STREET 1: 354 COOL SPRINGS BLVD.
STREET 2: SUITE 106
CITY: FRANKLIN
STATE: TN
ZIP: 37067
4
1
doc1.xml
FORM 4
X0306
4
2017-06-20
0
0001631569
Community Healthcare Trust Inc
CHCT
0001641475
Van Horn R. Lawrence
C/O COMMUNITY HEALTHCARE TRUST INCORPORA
3326 ASPEN GROVE DRIVE, SUITE 150
FRANKLIN
TN
37067
1
0
0
0
Common Stock
2017-06-20
4
A
0
2015
25.81
A
13569
D
For 2017, the reporting person elected to take 100% of his Board retainer in the form of shares of restricted stock with a three-year restriction period. Because the reporting person elected to take his Board retainer for 2017 in shares of restricted stock in lieu of cash, the Company awarded him additional shares of restricted stock, equal to 60% of the value of the Board retainer. The price of the securities acquired by the reporting person with respect to the Board retainer is based upon the ten (10) day average stock price of the common stock, which is equal to $25.81. The number of securities issued is equal to the total value of the Board retainer plus the value of the additional shares divided by such 10-day average stock price.
/s/ Christopher M. Douse, Attorney-in-Fact
2017-06-20