0001209191-21-050674.txt : 20210810 0001209191-21-050674.hdr.sgml : 20210810 20210810182019 ACCESSION NUMBER: 0001209191-21-050674 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210806 FILED AS OF DATE: 20210810 DATE AS OF CHANGE: 20210810 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kaufman Brett CENTRAL INDEX KEY: 0001431385 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39995 FILM NUMBER: 211161381 MAIL ADDRESS: STREET 1: 4400 BISCAYNE BLVD., 12TH FLOOR CITY: MIAMI STATE: FL ZIP: 33137 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 doc4.xml FORM 4 SUBMISSION X0306 4 2021-08-06 0 0001822523 AFC Gamma, Inc. AFCG 0001431385 Kaufman Brett 525 OKEECHOBEE BLVD. WEST PALM BEACH FL 33401 0 1 0 0 CFO and Treasurer Common Stock 2021-08-06 4 A 0 49043 0.00 A 49043 D Represents restricted stock granted under the Issuer's Stock Incentive Plan and shall vest over a four-year period with 33% vesting on each of the second, third and fourth anniversaries of August 2, 2021, subject to the Reporting Person's continued service to the Issuer. Brett Kaufman 2021-08-10