0001144204-12-001560.txt : 20120110 0001144204-12-001560.hdr.sgml : 20120110 20120110133229 ACCESSION NUMBER: 0001144204-12-001560 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120109 FILED AS OF DATE: 20120110 DATE AS OF CHANGE: 20120110 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Maximiuk Alan David CENTRAL INDEX KEY: 0001505311 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12928 FILM NUMBER: 12519476 MAIL ADDRESS: STREET 1: 31850 NORTHWESTERN HIGHWAY CITY: FARMINGTON HILLS STATE: MI ZIP: 48334 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AGREE REALTY CORP CENTRAL INDEX KEY: 0000917251 STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798] IRS NUMBER: 383148187 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 31850 NORTHWESTERN HGWY CITY: FARMINGTON HILLS STATE: MI ZIP: 48334 BUSINESS PHONE: 8107374190 MAIL ADDRESS: STREET 1: 31850 NORTHWESTERN HIGHWAY CITY: FARMINGTON HILLS STATE: MI ZIP: 48334 4 1 form447129_20120110013146-.xml X0304 4 2012-01-09 0 0000917251 AGREE REALTY CORP ADC 0001505311 Maximiuk Alan David 31850 NORTHWESTERN HWY FARMINGTON HILLS MI US 48334 0 1 0 0 CFO Common Stock $0.0001 Par Value 2012-01-09 4 A 0 4000 0 A 10000 D /s/Alan Maximiuk 2012-01-10