0001437749-21-028821.txt : 20211216 0001437749-21-028821.hdr.sgml : 20211216 20211216195722 ACCESSION NUMBER: 0001437749-21-028821 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211214 FILED AS OF DATE: 20211216 DATE AS OF CHANGE: 20211216 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DUGAN GORDON F CENTRAL INDEX KEY: 0001054811 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-56327 FILM NUMBER: 211499224 MAIL ADDRESS: STREET 1: 50 ROCKEFELLER PLZ STREET 2: 2ND FLOOR CITY: NEW YORK STATE: NY ZIP: 10020 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NewLake Capital Partners, Inc. CENTRAL INDEX KEY: 0001854964 STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798] IRS NUMBER: 834400045 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 27 PINE STREET STREET 2: SUITE 50 CITY: NEW CANAAN STATE: CT ZIP: 06840 BUSINESS PHONE: 203.594.1402 MAIL ADDRESS: STREET 1: 27 PINE STREET STREET 2: SUITE 50 CITY: NEW CANAAN STATE: CT ZIP: 06840 4 1 rdgdoc.xml FORM 4 X0306 4 2021-12-14 0001854964 NewLake Capital Partners, Inc. NLCP 0001054811 DUGAN GORDON F C/O NEWLAKE CAPITAL PARTNERS, INC. 27 PINE STREET, SUITE 50 NEW CANAAN CT 06840 1 Common Stock, par value $0.01 per share 2021-12-14 4 A 0 2305 0 A 38261 D Stock Options 24.0000 2022-07-15 2027-07-15 Common Stock 87976 87976 D OP Units Common Stock 54921 54921 D Represents the Issuer's common stock subject to restricted stock units (RSUs) award granted to the Reporting Person for services on the Issuer's board of directors. The RSUs will vest, subject to continued service, 100% on May 15, 2022. Includes 54,921 units of limited partnership interests in the Issuer's operating partnership ("OP Units"). OP Units are redeemable for cash or, at the option of the Issuer, convertible into shares of the Issuer's common stock on a one-for-one basis. /s/ Anthony Coniglio, attorney in fact 2021-12-16