0001209191-22-028751.txt : 20220513 0001209191-22-028751.hdr.sgml : 20220513 20220513084516 ACCESSION NUMBER: 0001209191-22-028751 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220511 FILED AS OF DATE: 20220513 DATE AS OF CHANGE: 20220513 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: 22920392 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 2022-05-11 0 0001822523 AFC Gamma, Inc. AFCG 0001431385 Kaufman Brett 525 OKEECHOBEE BLVD. SUITE 1770 WEST PALM BEACH FL 33401 0 1 0 0 CFO and Treasurer Common Stock 2022-05-11 4 P 0 3000 16.70 A 6000 D Common Stock 49043 I Trust These shares are held subject to a restricted stock grant 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. These shares are held by the Brett H. Kaufman Revocable Family Trust, of which the Reporting Person is the trustee and a beneficiary. The Reporting Person disclaims beneficial ownership of any shares in which he does not have a pecuniary interest. Gabriel Katz, as Attorney-in-Fact for Brett Kaufman 2022-05-13