0001209191-20-008002.txt : 20200210 0001209191-20-008002.hdr.sgml : 20200210 20200210170316 ACCESSION NUMBER: 0001209191-20-008002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200207 FILED AS OF DATE: 20200210 DATE AS OF CHANGE: 20200210 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: 20592816 MAIL ADDRESS: STREET 1: C/O HOME PROPERTIES STREET 2: 850 CLINTON SQUARE CITY: ROCHESTER STATE: NY ZIP: 14604 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 FORMER COMPANY: FORMER CONFORMED NAME: Broadstone Net Lease Inc DATE OF NAME CHANGE: 20080116 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2020-02-07 0 0001424182 Broadstone Net Lease, Inc. NA 0001142301 TAIT AMY L 800 CLINTON SQUARE ROCHESTER NY 14604 1 0 0 0 Common Stock 2020-02-07 4 A 0 191694.1 85.00 A 269724.031 D Common Stock 13953.931 I By Spouse Common Stock 31925 I By Limited Liability Company Common Stock 56993.653 I By Family Limited Liability Company Common Stock 2353 I By Trust Common Stock 2353 I By Trust OP Units 2020-02-07 4 A 0 289326.86 A Common Stock 289326.86 289326.86 D OP Units 2020-02-07 4 A 0 499423.59 A Common Stock 499423.59 499423.59 I By Limited Liability Company OP Units 2020-02-07 4 A 0 9201.32 A Common Stock 9201.32 9201.32 I By Trust OP Units 2020-02-07 4 A 0 9201.32 A Common Stock 9201.32 9201.32 I By Trust These securities are owned directly by the reporting person. 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. Securities held by irrevocable trust for benefit of reporting person's child. Represents membership units of Broadstone Net Lease, LLC (the "OP"), a subsidiary and the operating company of the Issuer ("OP Units"). OP Units are exchangeable by the reporting person for shares of Common Stock of the Issuer on a one-for-one basis. Consists of OP Units received in connection with the closing of the internalization of the functions previously performance for the Issuer by Broadstone Real Estate LLC. These OP Units are fully vested. /s/ John D. Moragne, as Attorney-in-fact 2020-02-10