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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, Section 17(a) of the Public Utility Holding Company Act of 1935 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) | ||
| 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 | ||||||||
| Restricted Stock Unit | (13) (14) | 03/09/2016 | 03/09/2016 | A | 5,000 | (14) | (14) | Common Stock | 5,000 (13) | (15) | 35,500 (13) | D | |||
| Reporting Owner Name / Address | Relationships | |||
| Director | 10% Owner | Officer | Other | |
| SAFENOWITZ HOWARD B C/O GETTY REALTY CORP TWO JERICHO PLAZA WING C, STE 110 JERICHO, NY 11753 |
X | |||
| /s/ Howard Safenowitz | 03/11/2016 | |
| **Signature of Reporting Person | Date |
| * | 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) | Increase in securities (935) is the result of a special stock dividend by the Issuer. |
| (2) | Increase in securities (246) is the result of a special stock dividend by the Issuer. |
| (3) | Owned by three adult children living in the reporting person's household. The reporting person disclaims beneficial ownership in these shares. |
| (4) | Increase in securities is the result of a special stock dividend by the Issuer of which 69 shares were issued directly to the Trust and 3,928 shares were re-distributed to the Trust proportionate to its ownership of an S-Corporation which had received the aforesaid special dividend and redistributed same in kind to its shareholders. |
| (5) | Shares beneficially owned by the Marilyn Safenowitz Irrevocable Trust u/a/d 4/13/2000. The reporting person is the trustee. |
| (6) | Increase in securities (10,198) is the result of a special stock dividend by the Issuer. |
| (7) | Shares held by the Safenowitz Partners, LP (the "Limited Partnership"). The reporting person is the president of Safenowitz Family Corp., which is theGeneral Partner of the Limited Partnership. The reporting person disclaims beneficial ownership of the shares held by the Limited Partnership, except to theextent of his pecuniary interest therein. |
| (8) | Increase in securities (495) is the result of a special stock dividend by the Issuer. |
| (9) | Increase in securities (63) is the result of a special stock dividend by the Issuer. |
| (10) | Owned by Spouse. The reporting person disclaims beneficial ownership in these shares. |
| (11) | Increase in securities (2,857) is the result of a special stock dividend by the Issuer. |
| (12) | As President of the General Partner of The Safenowitz Family Partnership, LP. The reporting person disclaims beneficial ownership of the shares held by thePartnership, except to the extent of his pecuniary interest herein. |
| (13) | Each RSU is settled for 1 share of common stock or the cash equivalent upon the settlement date noted in footnote (14) below. |
| (14) | Restricted Stock Units vest ratably over five years commencing on the first anniversary of the date of grant and are settled in cash or common stock, in thediscretion of the Compensation Committee, upon the earlier of the tenth anniversary of the grant date or termination of service as a director of theCompany. |
| (15) | The RSUs were received by Reporting Person for no consideration |