0001209191-21-036955.txt : 20210601 0001209191-21-036955.hdr.sgml : 20210601 20210601185049 ACCESSION NUMBER: 0001209191-21-036955 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210527 FILED AS OF DATE: 20210601 DATE AS OF CHANGE: 20210601 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kelley Tawn CENTRAL INDEX KEY: 0001570192 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36739 FILM NUMBER: 21987026 MAIL ADDRESS: STREET 1: 4900 N. SCOTTSDALE ROAD, SUITE 2000 CITY: SCOTTSDALE STATE: AZ ZIP: 85251 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: STORE CAPITAL Corp CENTRAL INDEX KEY: 0001538990 STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798] IRS NUMBER: 452280254 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 8377 EAST HARTFORD DRIVE STREET 2: SUITE 100 CITY: SCOTTSDALE STATE: AZ ZIP: 85255 BUSINESS PHONE: (480) 256-1100 MAIL ADDRESS: STREET 1: 8377 EAST HARTFORD DRIVE STREET 2: SUITE 100 CITY: SCOTTSDALE STATE: AZ ZIP: 85255 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-05-27 0 0001538990 STORE CAPITAL Corp STOR 0001570192 Kelley Tawn 8377 EAST HARTFORD DRIVE SUITE 100 SCOTTSDALE AZ 85255 1 0 0 0 Common Stock 2021-05-27 4 A 0 3819 0.00 A 13324 D These shares will vest in full upon the annual meeting of the Issuer's stockholders to be held in 2022. /s/ Tawn Kelley, by Chad A. Freed, as Attorney-in-Fact 2021-06-01