4: Statement of changes in beneficial ownership of securities
Published on March 16, 2017
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Class A OP Units (1) | (1) | 03/03/2017 | C | 21,750 (1) | (1) | (7) | Common shares of beneficial interest, $0.01 par value | 21,750.00 | $ 0 (1) | 107,275 (1) (2) (3) | I | See Footnote (1) (2) |
Reporting Owners
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Van Mourick Mark 187 MONARCH BAY DRIVE DANA POINT, CA 92629 |
X |
Signatures
Mark Van Mourick, by Jason Parsont, his Attorney-in-fact | 03/16/2017 | |
**Signature of Reporting Person | Date |
Explanation of Responses:
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | The Reporting Person redeemed 21,750 Class A common units of limited partner interest (the "Class A OP Units") of NSA OP, LP (the "Partnership"), of which National Storage Affiliates Trust (the "Issuer") is the general parter. These Class A OP Units were held by The Tricia Van Mourick Separate Property Trust U/A dated 03/29/2012, which received 21,750 common shares of beneficial interest ("Shares") of the Issuer upon redemption. The Shares are held in a trust for the benefit of the Reporting Person's spouse and children. The Reporting Person's spouse is trustee of the trust. |
(2) | This filing shall not be deemed to be an admission that the Reporting Person is the beneficial owner of any of the securities reported herein, and the Reporting Person disclaims beneficial ownership of such securities except to the extent of the Reporting Person's pecuniary interest therein. |
(3) | The Reporting Person's total direct and indirect beneficial ownership following the reported transactions above is (i) 0 Shares, and (ii) 107,275 Class A OP Units (which includes those securities convertible into, or exchangeable for, such Class A OP Units as previously reported). As of November 21, 2016, in connection with a corporate reorganization, the Reporting Person was no longer a controlling person and did not have or share voting or investment power over the portfolio of Optivest Properties, LLC ("Optivest"). Accordingly, the Reporting Person no longer has any direct or indirect beneficial ownership in any Shares of the Issuer. The 107,275 Class A OP Units referred to above do not include derivative securities of other classes or non-derivative securities of the Reporting Person that were previously reported. |
(4) | Represents Shares of the Issuer sold in the open market. |
(5) | The price reported in Column 4 is a weighted average price. These Shares of the Issuer were sold in multiple transactions ranging from $22.83 to $23.00, inclusive. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of Shares of the Issuer sold at each separate price within the ranges set forth in footnotes (5) and (6) to this Form 4. |
(6) | The price reported in Column 4 is a weighted average price. These Shares of the Issuer were sold in multiple transactions at prices ranging from $23.04 to $23.07, inclusive. |
(7) | N/A |