SEC Form 5 · accession 0001618563-18-000009
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, 2017
Accepted (ET)
Feb 14, 2018 · 6:02 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 5, 2017 | G | 13,000 | $0.00 | D | 133,700 | D | |
| Common shares of beneficial interest, $0.01 par valueF1,F2 | Dec 5, 2017 | G | 13,000 | $0.00 | D | 120,700 | I | By wife |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1On December 5, 2017, the Reporting Person made a bona fide gift of 13,000 common shares of beneficial interest, par value $0.01 per share ("Shares") and his wife made a bona fide gift of 13,000 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. The Reporting Person and his wife do not have a pecuniary interest in the Shares held by the Foundation.
- F2The Reporting Person's total direct and indirect ownership of Shares following the transactions reported in the table above is 120,700 Shares, which includes those Shares previously reported. The 120,700 Shares do not include derivative securities of the Reporting Person that have been reported on the Reporting Person's Forms 3 and Forms 4.