0001493152-21-010767.txt : 20210507 0001493152-21-010767.hdr.sgml : 20210507 20210507162136 ACCESSION NUMBER: 0001493152-21-010767 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20210506 FILED AS OF DATE: 20210507 DATE AS OF CHANGE: 20210507 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: 21903049 MAIL ADDRESS: STREET 1: 354 COOL SPRINGS BLVD. STREET 2: SUITE 106 CITY: FRANKLIN STATE: TN ZIP: 37067 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 4 1 ownership.xml X0306 4 2021-05-06 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 2021-05-06 4 A 0 2037 0.00 A 25782 D Exhibit 24.1 - Power of Attorney /s/ Nathanael P. Kibler, Attorney-in-fact 2021-05-07 EX-24.1 2 ex24-1.htm

 

Exhibit 24.1

 

SUBSTITUTE POWER OF ATTORNEY

 

Under the terms of powers of attorney (each, a “Power of Attorney”) previously filed with the U.S. Securities and Exchange Commission, the undersigned was appointed an attorney-in-fact for the following individuals to, among other things, execute for and on behalf of the following individuals any Forms 3, 4 and 5 or any amendments thereto, in accordance with Section 16(a) of the Securities Exchange Act of 1934, as amended, and the rules and regulations promulgated thereunder:

 

David H. Dupuy

Alan Gardner

Claire Gulmi

Robert Z. Hensley

Leigh Ann Stach

R. Lawrence Van Horn

Timothy G. Wallace

 

In accordance with the authority granted under each Power of Attorney, including the power of substitution, the undersigned hereby appoints Nathanael P. Kibler as substitute attorney-in-fact, on behalf of the individuals listed above, with the power to exercise and execute all of the powers granted or conferred in the original Power of Attorney. This Substitute Power of Attorney shall not revoke the powers granted to the undersigned in any Power of Attorney.

 

This Substitute Power of Attorney shall remain in full force and effect until the underlying Power of Attorney is revoked or terminated, unless earlier revoked by the undersigned in a signed writing.

 

Dated: May 3, 2021

 

/s/ Christopher M. Douse  
Name: Christopher M. Douse  
Title: Attorney-in-Fact