SEC Form 4 · accession 0001140361-16-060956
Community Healthcare Trust Inc · CHCT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Timothy G Wallace
Officer — Chairman, CEO and President · Director
Period of report
Apr 12, 2016
Accepted (ET)
Apr 12, 2016 · 7:00 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 | Apr 12, 2016 | A | 35,000 | $17.75 | A | 192,781 | D | |
| Common StockF1 | holding | — | — | — | 120,000 | I | See Footnote (1) |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The amount shown represents the beneficial ownership of the Issuer's securities by Athena Funding Partners, LLC ("AFP"). Mr. Wallace owns 99% of AFP and disclaims beneficial ownership of the securities to the extent it exceeds his pecuniary interest therein and the inclusion of the shares in this report shall not be deemed to be an admission of beneficial ownership of the reported shares for the purposes of Section 16 to the Exchange Act or otherwise.