SEC Form 5 · accession 0001618563-17-000021
National Storage Affiliates Trust · NSA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Arlen Dale Nordhagen
Officer — Chief Executive Officer · Director
Period of report
Dec 31, 2016
Accepted (ET)
Feb 13, 2017 · 4:42 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001618563
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common shares of beneficial interest, $0.01 par valueF1,F2 | Dec 16, 2016 | G | 34,200 | — | D | 187,500 | D | |
| Common shares of beneficial interest, $0.01 par valueF1,F2 | Dec 16, 2016 | G | 40,800 | — | D | 146,700 | I | By wife |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1On December 16, 2016, the Reporting Person made a bona fide gift of 34,200 common shares of beneficial interest, par value $0.01 per share ("Shares") and his wife made a bona fide gift of 40,800 Shares to the Nord Foundation (the "Foundation"), which is a nonprofit tax-exempt organization under section 501(c)(3) of the internal revenue code for which the Reporting Person and his wife each serve as directors. No part of the Foundation's net earnings may inure to the benefit of or be distributable to the Reporting Person or any other individual and neither the Reporting Person nor any other individual shall be entitled to share in the distribution of any assets of the Foundation on its dissolution or otherwise. Accordingly, the Reporting Person does not and did not have a pecuniary interest in the Shares held by the Foundation and such Shares no longer will be reported as beneficially owned by the Reporting Person for purposes of Section 16(a).
- F2The Reporting Person's total direct and indirect ownership of Shares is 146,700 Shares after reporting the transactions described herein. The 146,700 Shares include all Shares previously reported, except that they omit 39,300 Shares held by the Foundation that were previously reported as beneficially owned by the Reporting Person on Forms 4 filed on August 17, 2015 and August 18, 2015, respectively. The 146,700 Shares do not include derivative securities of the Reporting Person that have been reported on the Reporting Person's Forms 3 and Forms 4.