0001140361-21-010093.txt : 20210325
0001140361-21-010093.hdr.sgml : 20210325
20210325213652
ACCESSION NUMBER: 0001140361-21-010093
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210323
FILED AS OF DATE: 20210325
DATE AS OF CHANGE: 20210325
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TANNENBAUM LEONARD M
CENTRAL INDEX KEY: 0001200461
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39995
FILM NUMBER: 21774383
MAIL ADDRESS:
STREET 1: 525 OKEECHOBEE BLVD., SUITE 1770
CITY: WEST PALM BEACH
STATE: FL
ZIP: 33401
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: AFC Gamma, Inc.
CENTRAL INDEX KEY: 0001822523
STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE [6500]
IRS NUMBER: 851807125
STATE OF INCORPORATION: MD
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 525 OKEECHOBEE BLVD., SUITE 1770
CITY: WEST PALM BEACH
STATE: FL
ZIP: 33401
BUSINESS PHONE: 561.510.2390
MAIL ADDRESS:
STREET 1: 525 OKEECHOBEE BLVD., SUITE 1770
CITY: WEST PALM BEACH
STATE: FL
ZIP: 33401
4
1
form4.xml
FORM 4
X0306
4
2021-03-23
0001822523
AFC Gamma, Inc.
AFCG
0001200461
TANNENBAUM LEONARD M
525 OKEECHOBEE BLVD., SUITE 1770
WEST PALM BEACH
FL
33401
true
true
true
Chief Executive Officer
Common Stock
2021-03-23
4
P
0
1000
19
A
1000
I
by spouse
Common Stock
3342500
D
Stock Option (right to buy)
19
2021-03-23
4
A
0
630000
0
A
2028-03-23
Common Stock
630000
630000
D
Stock Option (right to buy)
19
2021-03-23
4
A
0
14000
0
A
2028-03-23
Common Stock
14000
14000
I
by spouse
The shares were purchased by the spouse of the Reporting Person in the Issuer's directed share program at the initial public offering price.
The Reporting Person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of the securities for purposes of Section 16 or for any other purpose.
The shares subject to this option fully vested and became exercisable upon the consummation of the Issuer's initial public offering.
/s/ Regina Braman, Attorney-in-Fact for Leonard Tannenbaum
2021-03-25