SEC Form 4 · accession 0001618563-16-000105
National Storage Affiliates Trust · NSA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Mark Van Mourick
Director
Period of report
Jun 15, 2016
Accepted (ET)
Jun 17, 2016 · 1:37 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001618563
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Class A OP UnitsF1,F2,F4,F3 | — | Jun 15, 2016 | J | 33,600 | A | — | — | Common shares of beneficial interest, $0.01 par value | 33,600 | 665,623 | I |
Explanation of responses
- F1The Reporting Person has the right to cause NSA OP, LP (the "Partnership") to redeem all of the Reporting Person's Class A common units of limited partner interest (the "Class A OP Units") of the Partnership reported in this Form 4 for cash in an amount equal to the market value of an equivalent number of common shares of beneficial interest of National Storage Affiliates Trust (the "Issuer"), or at the Issuer's option, common shares of beneficial interest on a one-for-one basis, subject to certain adjustments.
- F2Pro rata liquidating distribution of 33,600 Class A OP Units of the Partnership to Van Mourick Diversified, LP, for which the Reporting Person has or shares voting and investment power, from National Storage Affiliates Holdings, LLC, of which the Reporting Person did not have or share voting or investment power. This filing shall not be deemed to be an admission that the Reporting Person is the beneficial owner of any of the securities reported herein, and the Reporting Person disclaims beneficial ownership of such securities except to the extent of the Reporting Person's pecuniary interest therein.
- F3N/A
- F4The Reporting Person's total direct and indirect beneficial ownership of Class A OP Units following the reported transaction above is 665,623 Class A OP Units, which includes those Class A OP Units previously reported and the Class A OP Units reported herein (together with those securities convertible into, or exchangeable for, such Class A OP Units as specified therein). The 665,623 Class A OP Units does not include derivative securities of other classes or non-derivative securities of the Reporting Person that were previously reported.