0001209191-21-046952.txt : 20210716 0001209191-21-046952.hdr.sgml : 20210716 20210716170057 ACCESSION NUMBER: 0001209191-21-046952 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210716 FILED AS OF DATE: 20210716 DATE AS OF CHANGE: 20210716 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Wiegel Molly CENTRAL INDEX KEY: 0001803280 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39529 FILM NUMBER: 211096053 MAIL ADDRESS: STREET 1: BROADSTONE NET LEASE, INC. STREET 2: 800 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 2021-07-16 0 0001424182 Broadstone Net Lease, Inc. BNL 0001803280 Wiegel Molly 800 CLINTON SQUARE ROCHESTER NY 14604 0 1 0 0 SVP - Human Resources Common Stock 2021-07-16 4 A 0 587 21.25 A 24584 D Reflects shares of stock issued to the Reporting Person on July 16, 2021 as earnout consideration paid to the owners of our former external manager. The price of shares issued is based upon the contractually agreed price per share in the merger agreement. The Reporting Person's right to receive the additional shares as earnout consideration became fixed and irrevocable on February 7, 2020, the effective date of the internalization of our former external manager under the terms of the merger agreement. This amount includes 11,421 shares of unvested restricted stock. John D. Moragne, as Attorney-in-Fact 2021-07-16