0000899243-17-017126.txt : 20170623 0000899243-17-017126.hdr.sgml : 20170623 20170623170927 ACCESSION NUMBER: 0000899243-17-017126 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20170623 FILED AS OF DATE: 20170623 DATE AS OF CHANGE: 20170623 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Broadstone Net Lease Inc CENTRAL INDEX KEY: 0001424182 STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798] IRS NUMBER: 000000000 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 800 CLINTON SQUARE CITY: Rochester STATE: NY ZIP: 14604 BUSINESS PHONE: 585-287-6500 MAIL ADDRESS: STREET 1: 800 CLINTON SQUARE CITY: Rochester STATE: NY ZIP: 14604 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TAIT AMY L CENTRAL INDEX KEY: 0001142301 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55774 FILM NUMBER: 17928344 MAIL ADDRESS: STREET 1: C/O HOME PROPERTIES STREET 2: 850 CLINTON SQUARE CITY: ROCHESTER STATE: NY ZIP: 14604 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2017-06-23 0 0001424182 Broadstone Net Lease Inc NA 0001142301 TAIT AMY L 800 CLINTON SQUARE ROCHESTER NY 14604 1 1 0 0 See Remarks Common Stock 10160 D Common Stock 4908 I By Spouse Common Stock 44425 I By Limited Liability Company Common Stock 180918.61 I By Family Limited Liability Company The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for any purpose. Securities held by a limited liability company with respect to which the reporting person and her spouse have shared voting and investment power. Securities held by a family limited liability company with respect to which the reporting person has shared voting and investment power. The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for any purpose. Chief Investment Officer and Executive Chairman of the Board /s/ John D. Moragne, as Attorney-in-Fact 2017-06-23 EX-24 2 attachment1.htm EX-24 DOCUMENT
                                                                      EXHIBIT 24

                            LIMITED POWER OF ATTORNEY

        KNOW ALL BY THESE PRESENTS, that the undersigned hereby constitutes,
designates and appoints each of John D. Moragne and Ryan M. Albano (each an
"Attorney-in-Fact" and collectively, the "Attorneys-in-Fact"), or either of them
acting singly, with full power of substitution and power to act, as the
undersigned's true and lawful attorney-in-fact and agent to:

        1.      Execute for and on behalf of the undersigned, in the
undersigned's capacity as an officer or director of Broadstone Net Lease, Inc.
(the "Company"), Forms 3, 4 and 5 (and any amendments thereto) in accordance
with Section 16(a) of the Securities Exchange Act of 1934, as amended (the
"Exchange Act"), and the rules thereunder;

        2.      Do and perform any and all acts for and on behalf of the
undersigned which may be necessary or appropriate to complete and execute any
such Form 3, 4 or 5, including any amendments thereto, and timely file such form
with the Securities and Exchange Commission (the "SEC"), including without
limitation the filing of a Form ID or any other documents necessary or
appropriate to enable the undersigned to obtain EDGAR codes and file Forms 3, 4
and 5 electronically with the SEC; and

        3.      Take any other action in connection with the foregoing which, in
the opinion of such Attorney-in-Fact, is in the best interest of, or is legally
required by or for, the undersigned, it being understood that the documents
executed by such Attorney-in-Fact on behalf of the undersigned pursuant to this
Limited Power of Attorney shall be in such form and shall contain such
information and disclosure as such Attorney-in-Fact may approve in such
Attorney-in-Fact's discretion.

        The undersigned hereby grants to each Attorney-in-Fact full power and
authority to do and perform any and every act and thing whatsoever required,
necessary or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that such Attorney-in-Fact, or such
Attorney-in-Fact's substitute or substitutes, shall lawfully do or cause to be
done by virtue of this Limited Power of Attorney and the rights and powers
herein granted.

        The undersigned acknowledges that the Attorneys-in-Fact, in serving in
such capacity at the request and on the behalf of the undersigned, are not
assuming, nor is the Company assuming, any of the undersigned's responsibilities
to comply with, or any liability for the failure to comply with, any provision
of the Exchange Act or the rules promulgated thereunder.

        This Limited Power of Attorney shall remain in full force and effect
until the undersigned is no longer required to make filings in accordance with
Section 16(a) of the Exchange Act with respect to the undersigned's holdings of
and transactions in the Company's securities, unless earlier revoked by the
undersigned in a signed writing delivered to each Attorney-in-Fact.

        IN WITNESS WHEREOF, the undersigned has executed this Limited Power of
Attorney as of June 13, 2017.

                                        Signed and acknowledged:

                                        /s/ Amy L. Tait
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                                        Signature

                                        Amy L. Tait
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                                        Printed Name