0001062993-24-016813.txt : 20240919
0001062993-24-016813.hdr.sgml : 20240919
20240919191716
ACCESSION NUMBER: 0001062993-24-016813
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240917
FILED AS OF DATE: 20240919
DATE AS OF CHANGE: 20240919
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Jacoby Michael Z
CENTRAL INDEX KEY: 0001794504
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-09043
FILM NUMBER: 241311471
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]
ORGANIZATION NAME: 05 Real Estate & Construction
IRS NUMBER: 363361229
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 11911 FREEDOM DRIVE
STREET 2: SUITE 450
CITY: RESTON
STATE: VA
ZIP: 20190
BUSINESS PHONE: 561-617-8050
MAIL ADDRESS:
STREET 1: 11911 FREEDOM DRIVE
STREET 2: SUITE 450
CITY: RESTON
STATE: VA
ZIP: 20190
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
X0508
4
2024-09-17
0000764897
Broad Street Realty, Inc.
BRST
0001794504
Jacoby Michael Z
C/O BROAD STREET REALTY, INC.
11911 FREEDOM DRIVE, SUITE 450
RESTON
VA
20190
1
1
0
0
Chief Executive Officer
0
Common Stock
2024-09-17
4
P
0
13750
0.23
A
3675303
D
Common Stock
57125
I
By Spouse
The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $0.17 to $0.30, inclusive. The Reporting Person undertakes to provide to Broad Street Realty, Inc., any security holder of Broad Street Realty, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares purchased at each separate price within the range set forth in footnote (1) to this Form 4.
Mr. Jacoby disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of the securities for purposes of Section 16 or for any other purpose.
/s/ Andrew P. Campbell as attorney-in-fact for Michael Z. Jacoby
2024-09-19