0001062993-23-008817.txt : 20230405
0001062993-23-008817.hdr.sgml : 20230405
20230405183421
ACCESSION NUMBER: 0001062993-23-008817
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230403
FILED AS OF DATE: 20230405
DATE AS OF CHANGE: 20230405
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Spiritos Samuel M
CENTRAL INDEX KEY: 0001794510
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-09043
FILM NUMBER: 23803857
BUSINESS ADDRESS:
BUSINESS PHONE: 3018281200
MAIL ADDRESS:
STREET 1: 7250 WOODMONT AVENUE
STREET 2: SUITE 350
CITY: BETHESDA
STATE: MD
ZIP: 20814
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
X0407
4
2023-04-03
0000764897
Broad Street Realty, Inc.
BRST
0001794510
Spiritos Samuel M
C/O BROAD STREET REALTY, INC.
7250 WOODMONT AVE, SUITE 350
BETHESDA
MD
20814
1
0
0
0
0
Common Stock
2023-04-03
4
A
0
13871
0.78
A
148010
D
Common Stock
13827
I
SR BSV Spotswood LLC
Represents shares of common stock issued to the director under the Broad Street Realty, Inc. Amended and Restated 2020 Equity Incentive Plan in lieu of his cash retainer.
The reporting person is the manager of a limited liability company that owns the reported securities. The reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein.
/s/ Andrew P. Campbell as attorney-in-fact for Samuel M. Spiritos
2023-04-05