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)
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2. Date of Event Requiring Statement
(Month/Day/Year) 08/11/2004 |
3. Issuer Name and Ticker or Trading Symbol
Extra Space Storage Inc. [ EXR ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) 08/11/2004 |
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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 | 1,328,673 | I | Held by Krispen Family Holdings, L.C.(1) |
Common Stock | 626,343 | I | Held by The Kirk 101 Trust.(2) |
Common Stock | 418,452 | I | Held by The SFKC Kirk Charitable Remainder Unitrust.(3) |
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 | ||||
Options | (4) | (5) | Common Stock | 30,000 | 12.5 | D | |
Contingent Conversion Shares(6) | (6) | 12/31/2008 | Common Stock | 1,162,483 | (6) | D |
Explanation of Responses: |
1. Krispen Family Holdings, L.C. is an entity in which Mr. Kirk has shared voting and investment power. Mr. Kirk has no pecuniary interest in 670,980 of the shares held by Krispen Family Holdings, L.C., and disclaims beneficial ownership. |
2. Mr. Kirk has no pecuniary interest in the shares held by The Kirk 101 Trust and disclaims beneficial ownership. |
3. Mr. Kirk is the income beneficiary of The SFKC Kirk Charitable Remainder Unitrust. |
4. Become exercisable ratably over four years beginning on the first anniversary of the closing of the initial public offering of the Issuer. |
5. Expire ten years from the date of grant which is the date of the closing of the initial public offering of the Issuer. |
6. Contingent conversion shares, $.01 par value per share, of the Issuer. Contingent conversion shares are automatically convertible into shares of the Issuer's common stock on a one-for-one basis (but not before March 31, 2006) upon the achievement of certain performance thresholds relating to 14 properties owned by the Issuer. |
Remarks: |
The excercise price of the stock options is that of the initial public offerings price. |
/s/ Kenneth R. Beck, Attorney in Fact | 08/26/2004 | |
** 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. |