SEC Form 3
| FORM 3 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF 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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1. Name and Address of Reporting Person*
(Street)
| 2. Date of Event Requiring Statement (Month/Day/Year) 03/05/2019 | 3. Issuer Name and Ticker or Trading Symbol BLACK CREEK INDUSTRIAL REIT IV Inc. [ NONE ] | |||||||||||||
| 4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
| 5. If Amendment, Date of Original Filed (Month/Day/Year) | ||||||||||||||
6. Individual or Joint/Group Filing (Check Applicable Line)
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| Table I - Non-Derivative Securities Beneficially Owned | |||
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| 1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
| Common Stock | 19,253 | I | See Footnote(1) |
| Common Stock | 20,225 | I | By BCI IV Advisors LLC(2) |
| Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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| 1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
| Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
| Operating Partnership Units | (3) | (3) | Common Stock | (3) | (3) | I | By BCI IV Advisors Group LLC(3) |
| Explanation of Responses: |
| 1. The shares indicated in the table as being owned by Mr. Zucker are owned indirectly through a limited liability company. |
| 2. The shares are owned by BCI IV Advisors LLC (the "Advisor"). The shares reported above as being owned by the Advisor may be attributed to the Reporting Person based upon the fact that the Reporting Person is one of several individuals and/or their affiliates that directly or indirectly controls the Advisor. The Reporting Person disclaims beneficial ownership of the shares held by the Advisor except to the extent of his pecuniary interest therein. |
| 3. 71,872 operating partnership units (the "Units") have been issued to BCI IV Advisors Group LLC (the "Sponsor") by BCI IV Operating Partnership LP, a subsidiary of the Issuer (the "Partnership"). The holder of the Units may cause the Partnership to redeem the Units for cash, unless the Issuer's board of directors determines that the redemption of the Units for cash would be prohibited by applicable law or the Issuer's charter, in which case the Units will be redeemed for shares of the Issuer's common stock with an equivalent aggregate net asset value. The Units reported above may be attributed to the Reporting Person based upon the fact that the Reporting Person is one of several individuals and/or their affiliates that directly or indirectly controls the Sponsor. The Reporting Person disclaims beneficial ownership of the Units held by the Sponsor except to the extent of his pecuniary interest therein. |
| Remarks: |
| Remarks: Please see Exhibit 24.1 for executed power of attorney. |
| /s/ Sarah Wadsworth, Attorney-in-Fact | 03/05/2019 | |
| ** Signature of Reporting Person | Date | |
| Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
| * If the form is filed by more than one reporting person, see Instruction 5 (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). | ||
| Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
| 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 Number. | ||