0001062993-21-011658.txt : 20211124
0001062993-21-011658.hdr.sgml : 20211124
20211124184841
ACCESSION NUMBER: 0001062993-21-011658
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211123
FILED AS OF DATE: 20211124
DATE AS OF CHANGE: 20211124
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: 211448612
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
2021-11-23
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
Common Stock
2021-11-23
4
P
0
4600
2.41
A
2611845
D
/s/ Andrew P. Campbell as attorney-in-fact for Michael Z. Jacoby
2021-11-24