5 1 0001.txt ANNUAL STMT OF CHANGES IN BENEFICIAL OWNERSHIP --------------------------- FORM 5 OMB APPROVAL UNITED STATES SECURITIES AND EXCHANGE COMMISSION --------------------------- [ ] Check this box if no longer WASHINGTON D.C. 20549 OMB Number: 3235-0362 subject to Section 16. Form Expires: April 30, 1997 4 or Form 5 obligations may ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Estimated average burden continue. See Instruction 1(b) hours per response......1.0 [ ] Form 3 Holdings Reported Filed pursuant to Section 16(a) of the Securities Exchange --------------------------- [ ] Form 4 Transactions Reported Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the (Print or Type Responses) Investment Company Act 1940 ------------------------------------------------------------------------------------------------------------------------------------ 1. Name and Address of Reporting Person*| 2. Issuer Name and Ticker or Trading Symbol | 6. Relationship of Reporting Person(s) | | to Issuer | | (Check all applicable) Habicht Kevin B | Commercial Net Lease Realty, Inc. NNN | ----------------------------------------|---------------------------------------------------| __X__ Director _____10% Owner (Last) (First) (Middle) | 3. IRS or Social | 4. Statement for | | Security Number | (Month/Year) | __X__ Officer (give title below) 450 South Orange Avenue, Suite 900 | of Reporting | December 2000 | ----------------------------------------| Person (Voluntary) |--------------------------| _____ Other (specify below) (Street) | | 5. If Amendment, | | | Date of Original | Executive Vice President, Chief | ###-##-#### | (Month/Year) | Operating Officer, Secretary and | | | Treasurer Orlando Florida 32801 | | | ------------------------------------------------------------------------------------------------------------------------------------ (City) (State) (Zip) | Table I - Non Derivative Securities Acquired. Disposed of or Beneficially Owned ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Security |2. Transaction|3. Transaction |4. Securities Acquired |5. Amount of |6. Owner |7. Nature (Instr. 3) | Date | Code | (A) or Dsiposed | Securities | -ship | of | (Month/ | (Instr. 8) | of (D) | Beneficially | Form: | Indirect | Day/ | | (Instr. 3,4 and 5)| Owned at End | Direct | Bene- | Year) | |-----------------------| of Issuer's | (D) or | ficial | | | Amount | (A) | Price | Fiscal Year | Indirec | Owner- | | | | or | | (Instr.3 and | (I) | ship | | | | (D) | | 4) |(Instr. 4)|(Instr. 4) ----------------------------------------|--------------|---------------|--------|-----|--------|--------------|----------|---------- Common Stock | N/A | | | | | 39,081 | D | ----------------------------------------|--------------|---------------|--------|-----|--------|--------------|----------|---------- | | | | | | | | ----------------------------------------|--------------|---------------|--------|-----|--------|--------------|----------|---------- | | | | | | | | ----------------------------------------|--------------|---------------|--------|-----|--------|--------------|----------|---------- | | | | | | | | ----------------------------------------|--------------|---------------|--------|-----|--------|--------------|----------|---------- | | | | | | | | ----------------------------------------|--------------|---------------|--------|-----|--------|--------------|----------|---------- | | | | | | | | ----------------------------------------|--------------|---------------|--------|-----|--------|--------------|----------|---------- | | | | | | | | ----------------------------------------|--------------|---------------|--------|-----|--------|--------------|----------|---------- | | | | | | | | ----------------------------------------|--------------|---------------|--------|-----|--------|--------------|----------|---------- Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over) *If the form is filed by more than one reporting person, see Instruction 4(b)(v). SEC 2270 (3/91)
FORM 5 (CONTINUED) TABLE II - - DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Derivative | 2. Conver- | 3. Trans- | 4. Trans- | 5. Number of | 6. Date Exer- | 7. Title and Amount | 8. Price of Security | sion or | action | action | Derivative | cisable and | of Underlying | Derivative (Instr. 3) | Exercise | Date | Code | Securities | Expiration | Securities | Security | Price of | (Month/ | (Instr. 8)| Acquired | (Month/Day/ | (Instr. 3 and 4) | (Instr. 5) | Derivative| Day/ | | (A) or Dis- | Year) | | | Security | Year) | | posed of (D)| | | | | | | (Inst. 3,4 |-----------------|---------------------| | | | | and 5) | Date | Expira-| | Amount or | | | | |----------------| Exer- | tion | Title | Number of | | | | | (A) | (D) | cisable| Date | | Shares | | | | | | | | | | | ------------------------|------------|------------|-----------|-------|--------|--------|--------|-------|-------------|------------ Option (Right to buy) | $10.625 | 06/16/00 | A | 23,000| D | (1) | 06/16/ |Common | 23,000 | -0- | | | | | | | 2010 | Stock | | ------------------------|------------|------------|-----------|-------|--------|--------|--------|-------|-------------|------------ | | | | | | | | | | ------------------------|------------|------------|-----------|-------|--------|--------|--------|-------|-------------|------------ | | | | | | | | | | ------------------------|------------|------------|-----------|-------|--------|--------|--------|-------|-------------|------------ | | | | | | | | | | ------------------------|------------|------------|-----------|-------|--------|--------|--------|-------|-------------|------------ | | | | | | | | | | ------------------------|------------|------------|-----------|-------|--------|--------|--------|-------|-------------|------------ 9. Number of Derivative | 10. Ownership Form of | 11. Nature of Security Beneficially | Derivative Security; | Indirect Owned at End of Month | Direct (D) or | Beneficial | Indirect (I) | Ownership (Instr. 4) | (Instr. 4) | (Instr. 4) | | ----------------------------|--------------------------|-------------------- 187,000 | D | ----------------------------|--------------------------|-------------------- | | ----------------------------|--------------------------|-------------------- | | ----------------------------|--------------------------|-------------------- | | ----------------------------|--------------------------|-------------------- | | ----------------------------|--------------------------|-------------------- Explanation of Responses: (1) Stock options were granted under the Commercial Net Lease Realty, Inc. Stock Option Plan in a transaction exempt under Rule 16b-3. The options are exercisable in cumulative one-third installments commencing one year from the date of the grant, with full vesting occuring on the third anniversary date. ** Intentional misstatements or ommissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). /S/ Kevin B. Habicht Feb. 9, 2001 ---------------------- --------------- Signature of Reporting Date Person Note: File three copies of this Form, one of which must be manually signed. Page 2 If space provided is insufficient, see Instruction 6 for procedure. SEC 2270 (3/91) Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form discplays a currently valid OMB Number.