SEC Form 4 · accession 0001104659-15-041685
Community Healthcare Trust Inc · CHCT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Timothy G Wallace
Officer — Chairman, CEO & President · Director
Period of report
May 27, 2015
Accepted (ET)
May 28, 2015 · 8:45 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001631569
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | May 27, 2015 | A | 105,263 | $19.00 | A | 105,263 | D | |
| Common StockF1 | holding | — | — | — | 120,000 | I | By Athena Funding Partners, LLC |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1These shares are owned directly by Athena Funding Partners, LLC ("AFP"), a ten percent owner of the Issuer, and indirectly by Timothy G. Wallace, the Chairman, Chief Executive Officer and President of the Issuer. Timothy G. Wallace owns 99% of AFP, and these shares are deemed to be beneficially owned by him.