0000925421-17-000090.txt : 20170213 0000925421-17-000090.hdr.sgml : 20170213 20170213161632 ACCESSION NUMBER: 0000925421-17-000090 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161231 FILED AS OF DATE: 20170213 DATE AS OF CHANGE: 20170213 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MedEquities Realty Trust, Inc. CENTRAL INDEX KEY: 0001616314 STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798] IRS NUMBER: 465477146 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3100 WEST END AVENUE STREET 2: SUITE 1000 CITY: NASHVILLE STATE: TN ZIP: 37203 BUSINESS PHONE: (615) 324-7822 MAIL ADDRESS: STREET 1: 3100 WEST END AVENUE STREET 2: SUITE 1000 CITY: NASHVILLE STATE: TN ZIP: 37203 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Harlan William C CENTRAL INDEX KEY: 0001685384 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37887 FILM NUMBER: 17599337 MAIL ADDRESS: STREET 1: C/O MEDEQUITIES REALTY TRUST STREET 2: 3100 WEST END AVENUE, SUITE 1000 CITY: NASHVILLE STATE: TN ZIP: 37203 5 1 edgar.xml PRIMARY DOCUMENT X0306 5 2016-12-31 0 0 0001616314 MedEquities Realty Trust, Inc. MRT 0001685384 Harlan William C C/O MEDEQUITIES REALTY TRUST, INC. 3100 WEST END AVENUE, SUITE 1000 NASHVILLE TN 37203 1 1 0 0 President and COO Common Stock 2016-12-30 5 G 0 25000 0 D 0 D Common Stock 2016-12-30 5 G 0 25000 0 A 279084 I By trust Common Stock 16667 I By spouse The transaction represents a gift of 25,000 shares of common stock by the reporting person to an irrevocable trust for which the reporting person's spouse is the sole beneficiary and the sole trustee. Shares held by an irrevocable trust for which the reporting person's spouse is the sole beneficiary and the sole trustee. /s/ Andrew P. Campbell, as attorney-in-fact for William C. Harlan 2017-02-13