0001104659-22-131266.txt : 20221230 0001104659-22-131266.hdr.sgml : 20221230 20221230133632 ACCESSION NUMBER: 0001104659-22-131266 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221209 FILED AS OF DATE: 20221230 DATE AS OF CHANGE: 20221230 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: O'Brien Timothy Patrick CENTRAL INDEX KEY: 0001959591 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38719 FILM NUMBER: 221501370 MAIL ADDRESS: STREET 1: 7504 HACKAMORE DRIVE CITY: POTOMAC STATE: MD ZIP: 20854 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 tm2233790-1_4seq1.xml OWNERSHIP DOCUMENT X0306 4 2022-12-09 0 0001654595 Medalist Diversified REIT, Inc. MDRR 0001959591 O'Brien Timothy Patrick 7504 HACKAMORE DRIVE POTOMAC MD 20854 1 0 0 0 Common Stock 2022-12-09 4 A 0 38217 A 68217 D 38,217 shares of common stock were issued to Mr. O'Brien on December 9, 2022 pursuant to the Medalist Diversified REIT, Inc. 2018 Equity Incentive Plan. /s/ Timothy P. O'Brien 2022-12-09