SEC Form 4 · accession 0001140361-16-077324
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
Aug 18, 2016
Accepted (ET)
Aug 19, 2016 · 5:40 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 StockF1 | Aug 18, 2016 | A | 25,859 | $23.20 | A | 218,640 | D | |
| Common StockF2 | holding | — | — | — | 120,000 | I | Athena Funding Partners, LLC |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1For 2016, the reporting person agreed to take 100% of his cash bonus in the form of shares of restricted stock with an eight-year restriction period. Because the reporting person elected to take his bonus for 2016 in shares of restricted stock, the Company awarded the reporting person additional compensation, in restricted stock, equal to his cash bonus. The price of the securities acquired by the reporting person is based on the weighted average price of the Company's common stock for the 10 trading days immediately preceding August 18, 2016, which was $23.20. The number of securities issued is equal to the total cash bonus, including the additional compensation, divided by such price.
- F2The amount shown represents the beneficial ownership of the Company's securities by Athena Funding Partners, LLC ("AFP"). The reporting person 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.