0001567619-21-009290.txt : 20210507
0001567619-21-009290.hdr.sgml : 20210507
20210507153144
ACCESSION NUMBER: 0001567619-21-009290
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210430
FILED AS OF DATE: 20210507
DATE AS OF CHANGE: 20210507
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Nelson Clark
CENTRAL INDEX KEY: 0001799660
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39914
FILM NUMBER: 21902274
MAIL ADDRESS:
STREET 1: 3175 HIGHWAY 278
CITY: COVINGTON
STATE: GA
ZIP: 30014
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Affinity Bancshares, Inc.
CENTRAL INDEX KEY: 0001823406
STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTIONS, NOT FEDERALLY CHARTERED [6036]
IRS NUMBER: 000000000
STATE OF INCORPORATION: MD
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3175 HIGHWAY 278
CITY: COVINGTON
STATE: GA
ZIP: 30014
BUSINESS PHONE: (770) 786-7088
MAIL ADDRESS:
STREET 1: 3175 HIGHWAY 278
CITY: COVINGTON
STATE: GA
ZIP: 30014
4
1
doc1.xml
FORM 4
X0306
4
2021-04-30
0
0001823406
Affinity Bancshares, Inc.
AFBI
0001799660
Nelson Clark
3175 HIGHWAY 278
COVINGTON
GA
30014
0
1
0
0
EVP and CCO
Common Stock
2021-04-30
4
F
0
604
12.45
D
11278
D
Common Stock
1000
I
By IRA
Stock Options
6.3934
2021-04-30
2030-04-30
Common Stock
27567
27567
D
Includes shares of restricted stock vest which at a rate of 20% per year commencing on April 30, 2021.
Stock options vest at a rate of 20% per year commencing on April 30, 2021.
/s/ Ned A. Quint, pursuant to power of attorney
2021-05-07