| |
Maryland
(State or other jurisdiction of
incorporation or organization) |
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46-5212033
(I.R.S. Employer
Identification Number) |
|
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Large accelerated
☒
|
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Accelerated Filer
☐
|
|
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Non-accelerated filer
☐
|
| |
Smaller reporting company
☐
|
|
| | | | |
Emerging growth company
☐
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| | | | | | 1 | | | |
| | | | | | 2 | | | |
| | | | | | 4 | | | |
| | | | | | 5 | | | |
| | | | | | 6 | | | |
| | | | | | 7 | | | |
| | | | | | 12 | | | |
| | | | | | 13 | | | |
| | | | | | 16 | | | |
| | | | | | 17 | | | |
| | | | | | 25 | | | |
| | | | | | 26 | | | |
| | | | | | 29 | | | |
| | | | | | 32 | | | |
| | | | | | 39 | | | |
| | | | | | 65 | | | |
| | | | | | 66 | | | |
| | | | | | 66 | | | |
| | | | | | 66 | | | |
| | | | | | 67 | | | |
| | | | | | II-1 | | | |
| | | | | | II-6 | | |
| |
SEC registration fee
|
| | | $ | * | | |
| |
Legal fees and expenses
|
| | | $ | ** | | |
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Accounting fees and expenses
|
| | | $ | ** | | |
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Printing fees and expenses
|
| | | $ | ** | | |
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Transfer agent and trustee fees
|
| | | $ | ** | | |
| |
Miscellaneous
|
| | | $ | ** | | |
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Total
|
| | | $ | ** | | |
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Exhibit
No. |
| |
Description
|
|
| |
1.1*
|
| | Form of Underwriting Agreement | |
| |
4.1
|
| | | |
| |
4.2
|
| | | |
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4.3
|
| | | |
| |
4.4*
|
| | Form of Articles Supplementary | |
| |
4.5*
|
| | Form of Deposit Agreement, including form of Community Healthcare Trust Incorporated Depositary Receipt for Community Healthcare Trust Incorporated depositary shares | |
| |
4.6*
|
| | Form of Warrant Agreement | |
| |
4.7*
|
| | Form of Unit Agreement | |
| |
4.8*
|
| | Form of Rights Agreement | |
| |
4.9
|
| | | |
| |
5.1
|
| | | |
| |
8.1
|
| | | |
| |
23.1
|
| | | |
| |
23.2
|
| | | |
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23.3
|
| | | |
| |
24.1
|
| | | |
| |
25.1**
|
| | Form T-1 Statement of Eligibility of Trustee for Indenture of Community Healthcare Trust Incorporated under the Trust Indenture Act of 1939, as amended | |
| |
107
|
| | |
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Signature
|
| |
Title
|
| |
Date
|
|
| |
/s/ TIMOTHY G. WALLACE
Timothy G. Wallace
|
| |
Chief Executive Officer and
President and Chairman of the Board (Principal Executive Officer) |
| |
November 2, 2022
|
|
| |
/s/ DAVID H. DUPUY
David H. Dupuy
|
| |
Executive Vice President and
Chief Financial Officer (Principal Financial Officer) |
| |
November 2, 2022
|
|
| |
/s/ LEIGH ANN STACH
Leigh Ann Stach
|
| |
Executive Vice President and
Chief Accounting Officer (Principal Accounting Officer) |
| |
November 2, 2022
|
|
| |
/s/ CATHRINE COTMAN
Cathrine Cotman
|
| | Director | | |
November 2, 2022
|
|
| |
/s/ ALAN GARDNER
Alan Gardner
|
| | Director | | |
November 2, 2022
|
|
| |
/s/ ROBERT HENSLEY
Robert Hensley
|
| | Director | | |
November 2, 2022
|
|
| |
/s/ CLAIRE GULMI
Claire Gulmi
|
| | Director | | |
November 2, 2022
|
|
| |
/s/ R. LAWRENCE VAN HORN
R. Lawrence Van Horn
|
| | Director | | |
November 2, 2022
|
|