0001209191-20-063557.txt : 20201215 0001209191-20-063557.hdr.sgml : 20201215 20201215172644 ACCESSION NUMBER: 0001209191-20-063557 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201211 FILED AS OF DATE: 20201215 DATE AS OF CHANGE: 20201215 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: 001-39529 FILM NUMBER: 201390514 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 2020-12-11 0 0001424182 Broadstone Net Lease, Inc. BNL 0001142301 TAIT AMY L 800 CLINTON SQUARE ROCHESTER NY 14604 1 0 0 0 Common Stock 2020-12-11 4 C 0 149827 0.00 A 149827 D Common Stock 2020-12-11 4 C 0 499423 0.00 A 1331494 I By Family Limited Liability Company Common Stock 2020-12-11 4 C 0 99885 0.00 A 155700 I By Spouse Common Stock 2020-12-11 4 C 0 36805 0.00 A 286217 I By Trust Common Stock 2020-12-11 4 C 0 36805 0.00 A 286217 I By Trust Common Stock 127700 I By Limited Liability Company OP Units 2020-12-11 4 C 0 149827 0.00 D Common Stock 149827 1157307 D OP Units 2020-12-11 4 C 0 99885 0.00 D Common Stock 99885 0 I By Spouse OP Units 2020-12-11 4 C 0 36805 0.00 D Common Stock 36805 0 I By Trust OP Units 2020-12-11 4 C 0 36805 0.00 D Common Stock 36805 0 I By Trust OP Units 2020-12-11 4 C 0 499423 0.00 D Common Stock 499423 0 I By Family Limited Liability Company 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. Securities held by irrevocable trust for benefit of reporting person's child. Securities held by a limited liability company with respect to which the reporting person and her spouse have shared voting and investment power. Represents membership units of Broadstone Net Lease, LLC (the "OP"), a subsidiary and the operating company of the Issuer ("OP Units"). OP Units are redeemable by the reporting person and, at the Issuer's discretion, can be settled in cash or shares of Common Stock of the Issuer on a one-for-one basis. These OP Units are fully vested. /s/ John D. Moragne, as Attorney-in-Fact 2020-12-15