0001567619-19-012531.txt : 20190531 0001567619-19-012531.hdr.sgml : 20190531 20190531165912 ACCESSION NUMBER: 0001567619-19-012531 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190530 FILED AS OF DATE: 20190531 DATE AS OF CHANGE: 20190531 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: 19871209 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 doc1.xml FORM 4 X0306 4 2019-05-30 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 2019-05-30 4 A 0 2104 38.02 A 23492 D For 2019, 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 2019 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 $38.02. 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 2019-05-31