0001104659-22-125931.txt : 20221209
0001104659-22-125931.hdr.sgml : 20221209
20221209171244
ACCESSION NUMBER: 0001104659-22-125931
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20221209
FILED AS OF DATE: 20221209
DATE AS OF CHANGE: 20221209
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Elliott William R
CENTRAL INDEX KEY: 0001758568
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38719
FILM NUMBER: 221455585
MAIL ADDRESS:
STREET 1: 9 ALBERMARLE AVE
CITY: RICHMOND
STATE: VA
ZIP: 23226
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Medalist Diversified REIT, Inc.
CENTRAL INDEX KEY: 0001654595
STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798]
IRS NUMBER: 000000000
STATE OF INCORPORATION: MD
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
BUSINESS PHONE: 8043444435
MAIL ADDRESS:
STREET 1: 1051 E. CARY STREET SUITE 601
STREET 2: JAMES CENTER THREE
CITY: RICHMOND
STATE: VA
ZIP: 23219
4
1
tm2232394-5_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2022-12-09
0
0001654595
Medalist Diversified REIT, Inc.
MDRR
0001758568
Elliott William R
9 ALBEMARLE AVE
RICHMOND
VA
23226
1
1
0
0
Vice Chairman/President/COO
Common Stock
2022-12-09
4
A
0
38217
A
196282
D
38,217 shares of common stock were issued to Mr. Elliott on December 9, 2022 pursuant to the Medalist Diversified REIT, Inc. 2018 Equity Incentive Plan.
/s/ William R. Elliott
2022-12-09