0001567619-21-001269.txt : 20210120
0001567619-21-001269.hdr.sgml : 20210120
20210120174632
ACCESSION NUMBER: 0001567619-21-001269
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210120
FILED AS OF DATE: 20210120
DATE AS OF CHANGE: 20210120
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Galazka Elizabeth
CENTRAL INDEX KEY: 0001799661
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39914
FILM NUMBER: 21539710
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
3
1
doc1.xml
FORM 3
X0206
3
2021-01-20
0
0001823406
Affinity Bancshares, Inc.
AFBI
0001799661
Galazka Elizabeth
3175 HIGHWAY 278
COVINGTON
GA
30014
0
1
0
0
EVP-Lending
Common Stock
10882
D
Common Stock
12000
I
By IRA
Common Stock
18000
I
By Spouse's IRA
Stock Options
6.3934
2021-04-30
2030-04-30
Common Stock
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
2021-01-20