0001213900-24-009770.txt : 20240202 0001213900-24-009770.hdr.sgml : 20240202 20240202182525 ACCESSION NUMBER: 0001213900-24-009770 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240202 FILED AS OF DATE: 20240202 DATE AS OF CHANGE: 20240202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Blumenfeld Yaniv CENTRAL INDEX KEY: 0001738621 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41581 FILM NUMBER: 24593279 MAIL ADDRESS: STREET 1: C/O SG BLOCKS, INC. STREET 2: 195 MONTAGUE STREET, 14TH FLOOR CITY: BROOKLYN STATE: NY ZIP: 11201 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Safe & Green Development Corp CENTRAL INDEX KEY: 0001959023 STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE [6500] ORGANIZATION NAME: 05 Real Estate & Construction IRS NUMBER: 871375590 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5011 GATE PARKWAY STREET 2: BUILDING 100 CITY: JACKSONVILLE STATE: FL ZIP: 32256 BUSINESS PHONE: (646) 240-4235 MAIL ADDRESS: STREET 1: 5011 GATE PARKWAY STREET 2: BUILDING 100 CITY: JACKSONVILLE STATE: FL ZIP: 32256 4 1 ownership.xml X0508 4 2024-02-02 0 0001959023 Safe & Green Development Corp SGD 0001738621 Blumenfeld Yaniv C/O SAFE AND GREEN DEVELOPMENT CORP, 990, BISCAYNE BLVD., #501, OFFICE 12 MIAMI, FL 33132 1 0 0 0 0 Common Stock 2024-02-02 4 A 0 40000 0 A 52500 D Consists of restricted stock units that vest immediately. Each restricted stock unit represents a contingent right to receive one share of Safe and Green Development Corporation common stock. /s/ Nicolai Brune, Attorney-in-Fact for Yaniv Blumenfeld 2024-02-02