SEC Form 4 · accession 0001209191-16-133044
City Office REIT, Inc. · CIO
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Samuel Belzberg
Director
Period of report
Jul 14, 2016
Accepted (ET)
Jul 18, 2016 · 4:50 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001593222
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Jul 14, 2016 | A | 701,594 | $0.00 | A | 884,074 | I | Through Gibralt US, Inc. |
| Common Stock | holding | — | — | — | 207,491 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Operating Partnership UnitsF1,F2,F3 | $0.00 | Jul 14, 2016 | J | 1,647,066 | D | — | — | Common Stock | 1,647,066 | 0 | I |
Explanation of responses
- F1On July 14, 2016, City Office REIT, Inc. (the "Company") received a redemption request from each of Second City General Partner II, L.P., GCC Amberglen L.P., Gibralt US, Inc. and CIO OP Limited Partnership (collectively, the "Second City Funds"), each a limited partner of City Office REIT Operating Partnership, L.P. (the "OP"), pursuant to which the Company issued shares of its common stock, par value $0.01 per share ("Common Stock"), to the Second City Funds in exchange for tendered units of partnership interest in the OP. The shares of Common Stock then held by each of the Second City Funds were subsequently distributed to its limited partners, including Gibralt US, Inc.
- F2The Reporting Person disclaims beneficial ownership of these securities as this report shall not be deemed an admission that the Reporting Person is the beneficial owner of these securities for the purposes of Section 16 or any other purpose.
- F3The OP Units are vested as of the date of issuance. The OP Units have no expiration date.