| |
Maryland
(State or other jurisdiction of
incorporation or organization) |
| |
46-5212033
(I.R.S. Employer
Identification Number) |
|
| |
Large accelerated ☒
|
| |
Accelerated Filer ☐
|
| |
Non-accelerated filer ☐
|
| |
Smaller reporting company ☐
Emerging growth company ☐ |
|
| | | | | | 1 | | | |
| | | | | | 2 | | | |
| | | | | | 4 | | | |
| | | | | | 5 | | | |
| | | | | | 6 | | | |
| | | | | | 7 | | | |
| | | | | | 12 | | | |
| | | | | | 13 | | | |
| | | | | | 16 | | | |
| | | | | | 17 | | | |
| | | | | | 25 | | | |
| | | | | | 26 | | | |
| | | | | | 29 | | | |
| | | | | | 32 | | | |
| | | | | | 39 | | | |
| | | | | | 67 | | | |
| | | | | | 68 | | | |
| | | | | | 68 | | | |
| | | | | | 68 | | | |
| | | | | | 69 | | |
| |
Piper Sandler
|
| |
Evercore ISI
|
| |
Huntington
Capital Markets |
| |
KeyBanc Capital
Markets |
| |
Regions
Securities LLC |
| |
Truist Securities
|
|
| |
Fifth Third Securities
|
| |
Janney Montgomery Scott
|
|
| | | | | | S-2 | | | |
| | | | | | S-3 | | | |
| | | | | | S-8 | | | |
| | | | | | S-11 | | | |
| | | | | | S-13 | | | |
| | | | | | S-19 | | | |
| | | | | | S-20 | | | |
| | | | | | S-21 | | |
| |
SEC registration fee
|
| | | $ | 11,290 | | |
| |
Legal fees and expenses
|
| | | $ | * | | |
| |
Accounting fees and expenses
|
| | | $ | * | | |
| |
Printing fees and expenses
|
| | | $ | * | | |
| |
Transfer agent and trustee fees
|
| | | $ | * | | |
| |
Miscellaneous
|
| | | $ | * | | |
| |
Total
|
| | | $ | * | | |
|
Exhibit No.
|
| |
Description
|
|
| 1.1* | | | Form of Underwriting Agreement | |
| 1.2 | | | Third Amended and Restated Sales Agency Agreement, dated February 18, 2025, by and among Community Healthcare Trust Incorporated and Piper Sandler & Co., Piper Sandler Financial Products II Inc., Evercore Group L.L.C., Fifth Third Securities, Inc., Huntington Securities, Inc., Janney Montgomery Scott LLC, KeyBanc Capital Markets Inc., Regions Securities LLC, Truist Bank and Truist Securities, Inc.(1) | |
| 4.1 | | | | |
| 4.2 | | | | |
| 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 | | | | |
| 23.3 | | | Consent of BDO USA, P.C. | |
| 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 | | | Filing Fee Table | |
| |
Signature
|
| |
Title
|
| |
Date
|
|
| |
/s/ DAVID H. DUPUY
David H. Dupuy
|
| | Chief Executive Officer and President (Principal Executive Officer) | | |
February 18, 2025
|
|
| |
/s/ WILLIAM G. MONROE IV
William G. Monroe IV
|
| | Executive Vice President and Chief Financial Officer (Principal Financial Officer) | | |
February 18, 2025
|
|
| |
/s/ LEIGH ANN STACH
Leigh Ann Stach
|
| | Executive Vice President and Chief Accounting Officer (Principal Accounting Officer) | | |
February 18, 2025
|
|
| |
/s/ CATHRINE COTMAN
Cathrine Cotman
|
| | Director | | |
February 18, 2025
|
|
| |
/s/ ALAN GARDNER
Alan Gardner
|
| | Director | | |
February 18, 2025
|
|
| |
/s/ ROBERT HENSLEY
Robert Hensley
|
| | Director | | |
February 18, 2025
|
|
| |
/s/ CLAIRE GULMI
Claire Gulmi
|
| | Director | | |
February 18, 2025
|
|
| |
/s/ R. LAWRENCE VAN HORN
R. Lawrence Van Horn
|
| | Director | | |
February 18, 2025
|
|