0001062993-22-000463.txt : 20220104
0001062993-22-000463.hdr.sgml : 20220104
20220104212002
ACCESSION NUMBER: 0001062993-22-000463
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: FOSTER JEFFREY H
CENTRAL INDEX KEY: 0001264701
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-09043
FILM NUMBER: 22508936
MAIL ADDRESS:
STREET 1: 401 9TH STREET, NW #600
CITY: WASHINGTON
STATE: DC
ZIP: 20004
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
0001264701
FOSTER JEFFREY H
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
31687
0
A
66374
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 Jeffrey H. Foster
2022-01-04