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