0001140361-22-001644.txt : 20220113
0001140361-22-001644.hdr.sgml : 20220113
20220113180054
ACCESSION NUMBER: 0001140361-22-001644
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220111
FILED AS OF DATE: 20220113
DATE AS OF CHANGE: 20220113
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Levy Robert L
CENTRAL INDEX KEY: 0001382288
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39995
FILM NUMBER: 22529984
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
2022-01-11
0001822523
AFC Gamma, Inc.
AFCG
0001382288
Levy Robert L
525 OKEECHOBEE BLVD., SUITE 1770
WEST PALM BEACH
FL
33401
true
Stock Option (right to buy)
20.18
2022-01-11
4
A
0
5000
0
A
2029-01-10
Common Stock
5000
5000
D
The Stock Option will vest and become exercisable upon the one-year anniversary of the grant date, subject to early termination and adjustment as provided in the applicable stock option agreement.
/s/ Regina Braman, Attorney-in-Fact for Robert Levy
2022-01-13