4: Statement of changes in beneficial ownership of securities
Published on August 12, 2015
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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) | 08/10/2015 | P | 292,644 | (1) | (2) | Common shares of beneficial interest, $0.01 par value | 292,644.00 | $ 12.04 (1) | 4,090,689 (3) | I | See Footnote (4) |
Reporting Owners
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Howard Kevin Maxen 14855 SE 82ND DRIVE CLACKAMAS, OR 97015 |
X |
Signatures
Kevin Maxen Howard, by Jason Parsont, its Attorney-in-fact | 08/12/2015 | |
**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) | Consists of 292,644 Class A common units of limited partner interest (the "Class A OP Units") of NSA OP, LP (the " Partnership"). One year after the closing of the initial public offering of National Storage Affiliates Trust (the "Company"), the Reporting Person will have the right to cause the Partnership to redeem all or a portion of the Reporting Person's Class A OP Units for cash in an amount equal to the market value of an equivalent number of the Issuer's common shares of beneficial interest, or at the Issuer's option, common shares of beneficial interest on a one-for-one basis, subject to certain adjustments. |
(2) | N/A |
(3) | The Reporting Person's total direct and indirect beneficial ownership following the reported transaction above is 4,090,689 Class A OP Units, which includes those Class A OP Units reported on Form 3 on April 22, 2015 (the "Form 3") and the Class A OP Units reported herein (together with those securities convertible into, or exchangeable for, such Class A OP Units as specified in the Form 3). The 4,090,689 Class A OP Units do not include derivative securities of other classes of the Reporting Person that were reported on the Form 3. |
(4) | Consists of 292,644 Class A OP Units held by Howard Family Limited Partnership I, for which the Reporting Person has or shares voting and investment power. 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. |