0000925421-21-000151.txt : 20210608
0000925421-21-000151.hdr.sgml : 20210608
20210608175815
ACCESSION NUMBER: 0000925421-21-000151
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210604
FILED AS OF DATE: 20210608
DATE AS OF CHANGE: 20210608
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Spiritos Samuel M
CENTRAL INDEX KEY: 0001794510
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-09043
FILM NUMBER: 211003259
BUSINESS ADDRESS:
BUSINESS PHONE: 3018281200
MAIL ADDRESS:
STREET 1: 7250 WOODMONT AVENUE
STREET 2: SUITE 350
CITY: BETHESDA
STATE: MD
ZIP: 20814
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Broad Street Realty, Inc.
CENTRAL INDEX KEY: 0000764897
STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE [6500]
IRS NUMBER: 363361229
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 7250 WOODMONT AVE
STREET 2: SUITE 350
CITY: BETHESDA
STATE: MD
ZIP: 20814
BUSINESS PHONE: 561-617-8050
MAIL ADDRESS:
STREET 1: 7250 WOODMONT AVE
STREET 2: SUITE 350
CITY: BETHESDA
STATE: MD
ZIP: 20814
FORMER COMPANY:
FORMER CONFORMED NAME: MedAmerica Properties Inc.
DATE OF NAME CHANGE: 20170619
FORMER COMPANY:
FORMER CONFORMED NAME: Banyan Rail Services Inc.
DATE OF NAME CHANGE: 20100106
FORMER COMPANY:
FORMER CONFORMED NAME: BHIT INC
DATE OF NAME CHANGE: 19990518
4
1
edgar.xml
PRIMARY DOCUMENT
X0306
4
2021-06-04
0000764897
Broad Street Realty, Inc.
BRST
0001794510
Spiritos Samuel M
C/O BROAD STREET REALTY, INC.
7250 WOODMONT AVE, SUITE 350
BETHESDA
MD
20814
1
0
0
0
Common Stock
27035
D
Common Stock
2021-06-04
4
A
0
13827
A
13827
I
SR BSV Spotswood LLC
Received in exchange for membership interests in BSV Spotswood Investors LLC ("Spotswood"), pursuant to the previously disclosed Agreement and Plan of Merger (the "Spotswood Merger Agreement"), dated as of May 28, 2019, as amended on Nov. 27, 2019 and Dec. 27, 2019, by and among Spotswood, Broad Street Realty, Inc. (the "Issuer"), Broad Street Operating Partnership, LP and a subsidiary. Upon the closing of the transactions contemplated by the Spotswood Merger Agreement (the "Spotswood Merger"), the membership interests that were then outstanding were converted into the right to receive shares of the Issuer's common stock.
As of the date immediately prior to the effective time of the Spotswood Merger, the last reported sales price of the Issuer's common stock on the OTC Pink Market was $1.30 per share.
The reporting person is the manager of a limited liability company that owns the reported securities. The reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein.
/s/ Andrew P. Campbell as attorney-in-fact for Samuel M. Spiritos
2021-06-08