0001062993-22-022849.txt : 20221128
0001062993-22-022849.hdr.sgml : 20221128
20221128182515
ACCESSION NUMBER: 0001062993-22-022849
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20221123
FILED AS OF DATE: 20221128
DATE AS OF CHANGE: 20221128
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Jacoby Michael Z
CENTRAL INDEX KEY: 0001794504
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-09043
FILM NUMBER: 221427612
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
form4.xml
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
X0306
4
2022-11-23
0000764897
Broad Street Realty, Inc.
BRST
0001794504
Jacoby Michael Z
C/O BROAD STREET REALTY, INC.
7250 WOODMONT AVE, SUITE 350
BETHESDA
MD
20814
1
1
0
0
Chief Executive Officer
OP Units
2022-11-23
4
A
0
97086
2.00
A
2023-11-23
Common Stock
97086
953891
D
OP Units
2022-11-23
4
A
0
136213
A
2023-11-23
Common Stock
136213
1090104
D
Represents Class A units of limited partnership interest ("OP Units") in Broad Street Operating Partnership, LP (the "Operating Partnership"). Broad Street Realty, Inc. (the "Company") is the sole member of the general partner of the Operating Partnership. Beginning on the 12-month anniversary of the date of issuance, each OP Unit is redeemable for cash equal to the then-current market value of one share of the Company's common stock or, in the Company's sole discretion, one share of the Company's common stock. The OP Units have no expiration date.
Received in exchange for direct or indirect interests in BBL Current Owner, LLC ("BBL Current"), pursuant to the previously disclosed purchase and sale agreement (the "MTR Agreement"), dated December 21, 2021, by and between the Company and BBL Current. Upon the closing of the transactions contemplated by the MTR Agreement, the reporting person received OP Units in exchange for his direct or indirect interests in BBL Current.
Pursuant to the MTR Agreement, the OP Units were valued at $2.00 per unit to determine the number of OP Units issuable to the reporting person.
Received in exchange for membership interests in BSV Lamont Investors LLC ("Lamont"), pursuant to the previously disclosed Agreement and Plan of Merger (the "Lamont Merger Agreement"), dated as of May 28, 2019, as amended on November 27, 2019 and December 27, 2019, by and among Lamont, the Company, the Operating Partnership and a subsidiary. Upon the closing of the transactions contemplated by the Lamont Merger Agreement (the "Lamont Merger"), the membership interests that were then outstanding were converted into the right to receive OP Units.
As of the date immediately prior to the effective time of the Lamont Merger, the last reported sales price of the Company's common stock on the OTCQX was $0.79 per share.
/s/ Andrew P. Campbell as attorney-in-fact for Michael Z. Jacoby
2022-11-28