SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Messier Thomas E

(Last) (First) (Middle)
11 S. 12TH STREET, SUITE 401

(Street)
RICHMOND VA 23219

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
11/27/2018
3. Issuer Name and Ticker or Trading Symbol
Medalist Diversified REIT, Inc. [ MDRR ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
See Remarks
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 8,741(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
OP Units (2) (2) Common Stock 10,638 (2) D
Explanation of Responses:
1. Includes (a) 1 share of common stock issued to Mr. Messier upon the Issuer's formation, and (b) 8,740 shares of common stock issued to Mr. Messier in the Issuer's initial exempt public offering pursuant to Regulation A promulgated under the Securities Act completed on June 19, 2018.
2. Represents units of limited partnership interest ("OP Units") in Medalist Diversified Holdings, L.P. (the "Operating Partnership") of which the Issuer is the general partner. After one year following the date of issuance of OP Units, OP Units may be redeemed for cash or, at the option of the Issuer, for shares of the Issuer's common stock on a one-for-one basis.
Remarks:
Chairman of the Board, Chief Executive Officer, Secretary and Treasurer
/s/ Thomas E. Messier 11/27/2018
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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