0001213900-24-060887.txt : 20240712 0001213900-24-060887.hdr.sgml : 20240712 20240712114614 ACCESSION NUMBER: 0001213900-24-060887 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240709 FILED AS OF DATE: 20240712 DATE AS OF CHANGE: 20240712 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Galvin Paul M. CENTRAL INDEX KEY: 0001532974 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38037 FILM NUMBER: 241113692 MAIL ADDRESS: STREET 1: C/O SG BLOCKS, INC. STREET 2: 400 MADISON AVENUE, SUITE 16C CITY: NEW YORK STATE: NY ZIP: 10017 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SAFE & GREEN HOLDINGS CORP. CENTRAL INDEX KEY: 0001023994 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-LUMBER & OTHER CONSTRUCTION MATERIALS [5030] ORGANIZATION NAME: 07 Trade & Services 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: SG BLOCKS, INC. DATE OF NAME CHANGE: 20111122 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 X0508 4 2024-07-09 0 0001023994 SAFE & GREEN HOLDINGS CORP. SGBX 0001532974 Galvin Paul M. C/O SAFE & GREEN HOLDINGS CORP., 990 BISCAYNE BLVD., #501, OFFICE 12 MIAMI, FL 33132 1 1 0 0 Chief Executive Officer 0 Common Stock 2024-07-09 4 A 0 195221 0 A 238043 D Common Stock 25 I TAG Partners, LLC Includes (i) 69,960 shares of common stock of the Issuer issued to the reporting person as partial payment for his 2023 annual performance bonus, and (ii) a grant of 125,261 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. The RSUs vest in full on July 10, 2024. Reflects the 1-for-20 reverse stock split effected by the Issuer on May 2, 2024. Held by TAG Partners, LLC. Due to his position with TAG Partners, LLC, the reporting person may be deemed to be a beneficial owner of common stock held by TAG Partners, LLC. The reporting person disclaims any beneficial ownership of the shares referenced to herein except to the extent of his pecuniary interest therein. /s/ Paul M. Galvin 2024-07-11