0000899243-17-017789.txt : 20170705
0000899243-17-017789.hdr.sgml : 20170705
20170705162741
ACCESSION NUMBER: 0000899243-17-017789
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170630
FILED AS OF DATE: 20170705
DATE AS OF CHANGE: 20170705
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: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-55774
FILM NUMBER: 17948483
MAIL ADDRESS:
STREET 1: C/O HOME PROPERTIES
STREET 2: 850 CLINTON SQUARE
CITY: ROCHESTER
STATE: NY
ZIP: 14604
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-06-30
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
2017-06-30
5
G
0
E
12500
0.00
D
31925
I
By Limited Liability Company
Common Stock
4908
I
By Spouse
Common Stock
180918.61
I
By Family Limited Liability Company
Common Stock
10160
D
Securities held by a limited liability company with respect to which the reporting person and her spouse have 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.
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
2017-07-05