0001013762-21-000123.txt : 20211004 0001013762-21-000123.hdr.sgml : 20211004 20211004171239 ACCESSION NUMBER: 0001013762-21-000123 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211001 FILED AS OF DATE: 20211004 DATE AS OF CHANGE: 20211004 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Melton Christopher CENTRAL INDEX KEY: 0001533552 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38037 FILM NUMBER: 211303866 MAIL ADDRESS: STREET 1: C/O SG BLOCKS, INC., 400 MADISON AVENUE STREET 2: SUITE 16C CITY: NEW YORK STATE: NY ZIP: 10017 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SG BLOCKS, INC. CENTRAL INDEX KEY: 0001023994 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-LUMBER & OTHER CONSTRUCTION MATERIALS [5030] IRS NUMBER: 954463937 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 195 MONTAGUE STREET, 14TH FLOOR CITY: BROOKLYN STATE: NY ZIP: 11201 BUSINESS PHONE: (646) 240-4235 MAIL ADDRESS: STREET 1: 195 MONTAGUE STREET, 14TH FLOOR CITY: BROOKLYN STATE: NY ZIP: 11201 FORMER COMPANY: FORMER CONFORMED NAME: CDSI HOLDINGS INC DATE OF NAME CHANGE: 19990114 FORMER COMPANY: FORMER CONFORMED NAME: PC411 INC DATE OF NAME CHANGE: 19961001 4 1 ownership.xml X0306 4 2021-10-01 0 0001023994 SG BLOCKS, INC. SGBX 0001533552 Melton Christopher C/O SG BLOCKS, INC., 195 MONTAGUE STREET, 14TH FLOOR BROOKLYN, NY 11201 1 0 0 0 Common Stock 2021-10-01 4 A 0 11834 0 A 30982 D Common Stock 200 I Owned in Individual Retirement Account Represents a grant of restricted stock units ("RSUs") under the SG Blocks, Inc. Stock Incentive Plan. Each RSU represents the right to receive, upon vesting, one share of the issuer's common stock, par value $0.01. The RSUs will vest monthly over one year and, if earlier, in full on the date of the issuer's 2022 Annual Meeting of Stockholders, subject to the reporting person's continued service as a director of the issuer through such date. /s/ Gerald Sheeran, Attorney-in-Fact 2021-10-04