0001140361-17-045922.txt : 20171212 0001140361-17-045922.hdr.sgml : 20171212 20171212180314 ACCESSION NUMBER: 0001140361-17-045922 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171212 FILED AS OF DATE: 20171212 DATE AS OF CHANGE: 20171212 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WALLACE TIMOTHY G CENTRAL INDEX KEY: 0001210485 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37401 FILM NUMBER: 171252651 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Community Healthcare Trust Inc CENTRAL INDEX KEY: 0001631569 STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798] IRS NUMBER: 465212033 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3326 ASPEN GROVE DRIVE STREET 2: SUITE 150 CITY: FRANKLIN STATE: TN ZIP: 37067 BUSINESS PHONE: 615-771-3052 MAIL ADDRESS: STREET 1: 3326 ASPEN GROVE DRIVE STREET 2: SUITE 150 CITY: FRANKLIN STATE: TN ZIP: 37067 4 1 doc1.xml FORM 4 X0306 4 2017-12-12 0 0001631569 Community Healthcare Trust Inc CHCT 0001210485 WALLACE TIMOTHY G C/O COMMUNITY HEALTHCARE TRUST INCORPORA 3326 ASPEN GROVE DRIVE, SUITE 150 FRANKLIN TN 37067 1 1 0 0 Chairman, CEO and President Common Stock 2017-12-12 4 P 0 10067 27.1784 A 458273 D Common Stock 120000 I Athena Funding Partners, LLC The purchases reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on February 27, 2017. The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $26.980 to $27.275, inclusive. The reporting person undertakes to provide to Community Healthcare Trust Incorporated, any security holder of Community Healthcare Trust Incorporated, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares purchased at each separate price within the range set forth in this footnote (2) to this Form 4. The amount shown represents the beneficial ownership of the Company's securities by Athena Funding Partners, LLC ("AFP"). The reporting person owns 99% of AFP and disclaims beneficial ownership of the securities to the extent it exceeds his pecuniary interest therein and the inclusion of the shares in this report shall not be deemed to be an admission of beneficial ownership of the reported shares for the purposes of Section 16 to the Exchange Act or otherwise. /s/ Christopher M. Douse, Attorney-in-Fact 2017-12-12