0001062993-22-000405.txt : 20220104 0001062993-22-000405.hdr.sgml : 20220104 20220104184438 ACCESSION NUMBER: 0001062993-22-000405 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220103 FILED AS OF DATE: 20220104 DATE AS OF CHANGE: 20220104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bencivenga Joseph C. CENTRAL INDEX KEY: 0001714407 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09043 FILM NUMBER: 22508448 MAIL ADDRESS: STREET 1: BOCA CENTER, TOWER 1 STREET 2: 5200 TOWN CENTER CIRCLE, SUITE 550 CITY: BOCA RATON STATE: FL ZIP: 33486 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Broad Street Realty, Inc. CENTRAL INDEX KEY: 0000764897 STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE [6500] IRS NUMBER: 363361229 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 7250 WOODMONT AVE STREET 2: SUITE 350 CITY: BETHESDA STATE: MD ZIP: 20814 BUSINESS PHONE: 561-617-8050 MAIL ADDRESS: STREET 1: 7250 WOODMONT AVE STREET 2: SUITE 350 CITY: BETHESDA STATE: MD ZIP: 20814 FORMER COMPANY: FORMER CONFORMED NAME: MedAmerica Properties Inc. DATE OF NAME CHANGE: 20170619 FORMER COMPANY: FORMER CONFORMED NAME: Banyan Rail Services Inc. DATE OF NAME CHANGE: 20100106 FORMER COMPANY: FORMER CONFORMED NAME: BHIT INC DATE OF NAME CHANGE: 19990518 4 1 form4.xml STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES X0306 4 2022-01-03 0000764897 Broad Street Realty, Inc. BRST 0001714407 Bencivenga Joseph C. C/O BROAD STREET REALTY, INC. 7250 WOODMONT AVE, SUITE 350 BETHESDA MD 20814 1 0 0 0 Common Stock 2022-01-03 4 A 0 25873 0 A 51746 D Represents the director's 2021 annual grant of shares of common stock and 2021 retainers that were paid in common stock, all of which were granted on January 3, 2022 under the Broad Street Realty, Inc. Amended and Restated 2020 Equity Incentive Plan. /s/ Andrew P. Campbell as attorney-in-fact for Joseph C. Bencivenga 2022-01-04