Statement of Changes in Beneficial Ownership (4)
05 Oktober 2017 - 11:18PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
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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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1. Name and Address of Reporting Person
*
GUSTAVSON TAMARA HUGHES
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2. Issuer Name
and
Ticker or Trading Symbol
American Homes 4 Rent
[
AMH
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
_____ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Last)
(First)
(Middle)
C/O AMERICAN HOMES 4 RENT, 30601 AGOURA ROAD, SUITE 200
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3. Date of Earliest Transaction
(MM/DD/YYYY)
10/3/2017
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(Street)
AGOURA HILLS, CA 91301
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Class A Common Shares
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100
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I
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By Spouse
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Series A Participating Preferred Shares
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10/3/2017
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D
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28196
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D
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$0
(1)
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0
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D
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Class A Common Shares
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10/3/2017
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A
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36953
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A
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$0
(1)
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13637618
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D
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Series A Participating Preferred Shares
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10/3/2017
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D
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6000
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D
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$0
(2)
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0
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I
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By IRA
(3)
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Class A Common Shares
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10/3/2017
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A
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7863
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A
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$0
(2)
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7863
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I
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IRA
(3)
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Series A Participating Preferred Shares
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10/3/2017
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D
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192836
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D
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$0
(4)
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0
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I
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By LLC
(5)
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Class A Common Shares
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10/3/2017
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A
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252730
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A
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$0
(4)
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252730
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I
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By LLC
(5)
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Series B Participating Preferred Shares
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10/3/2017
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D
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4981
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D
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$0
(6)
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0
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D
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Class A Common Shares
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10/3/2017
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A
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6528
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A
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$0
(6)
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13644146
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D
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Series B Participating Preferred Shares
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10/3/2017
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D
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19000
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D
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$0
(7)
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0
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I
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By IRA
(3)
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Class A Common Shares
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10/3/2017
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A
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24901
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A
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$0
(7)
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32764
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I
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IRA
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Series B Participating Preferred Shares
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10/3/2017
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D
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247300
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D
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$0
(8)
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0
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I
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By LLC
(5)
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Class A Common Shares
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10/3/2017
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A
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324111
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A
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$0
(8)
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576841
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I
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By LLC
(5)
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Explanation of Responses:
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(1)
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On October 3, 2017, the issuer converted each outstanding share of Series A Participating Preferred shares into 1.3106 shares of Class A Common resulting in the issuance to the reporting person of 36,953 Class A Common Shares.
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(2)
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On October 3, 2017, the issuer converted each outstanding share of Series A Participating Preferred shares into 1.3106 shares of Class A Common resulting in the issuance to the reporting person of 7,863 Class A Common Shares.
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(3)
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By IRA for benefit of reporting person
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(4)
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On October 3, 2017, the issuer converted each outstanding share of Series A Participating Preferred shares into 1.3106 shares of Class A Common resulting in the issuance to the reporting person of 252,730 Class A Common Shares.
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(5)
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By limited liability company which is owned 99% by reporting person as trustee and 1% by Mr. Hughes. Reporting person and David Singelyn, Chief Executive Officer of the Company are the managers of the limited liability company. Decisions regarding the disposition and voting of shares held by the limited liability company are made by the reporting person.
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(6)
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On October 3, 2017, the issuer converted each outstanding share of Series B Participating Preferred shares into 1.3106 shares of Class A Common resulting in the issuance to the reporting person of 6,528 Class A Common Shares.
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(7)
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On October 3, 2017, the issuer converted each outstanding share of Series B Participating Preferred shares into 1.3106 shares of Class A Common resulting in the issuance to the reporting person of 24,901 Class A Common Shares.
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(8)
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On October 3, 2017, the issuer converted each outstanding share of Series B Participating Preferred shares into 1.3106 shares of Class A Common resulting in the issuance to the reporting person of 324,111 Class A Common Shares.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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GUSTAVSON TAMARA HUGHES
C/O AMERICAN HOMES 4 RENT
30601 AGOURA ROAD, SUITE 200
AGOURA HILLS, CA 91301
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X
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Signatures
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Stephanie Heim, attorney-in-fact
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10/4/2017
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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.
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