0001213900-21-010685.txt : 20210219 0001213900-21-010685.hdr.sgml : 20210219 20210219195212 ACCESSION NUMBER: 0001213900-21-010685 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210217 FILED AS OF DATE: 20210219 DATE AS OF CHANGE: 20210219 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Chang Raymond Nobu CENTRAL INDEX KEY: 0001831402 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39946 FILM NUMBER: 21657884 MAIL ADDRESS: STREET 1: C/O AGRIFY CORPORATION STREET 2: 101 MIDDLESEX TURNPIKE, SUITE 6, PMB 326 CITY: BURLINGTON STATE: MA ZIP: 01803 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Agrify Corp CENTRAL INDEX KEY: 0001800637 STANDARD INDUSTRIAL CLASSIFICATION: AGRICULTURE SERVICES [0700] IRS NUMBER: 300943453 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1600 DISTRICT AVENUE STREET 2: UNIT 106 CITY: BURLINGTON STATE: MA ZIP: 01803 BUSINESS PHONE: 617-896-5243 MAIL ADDRESS: STREET 1: 1600 DISTRICT AVENUE STREET 2: UNIT 106 CITY: BURLINGTON STATE: MA ZIP: 01803 4 1 ownership.xml X0306 4 2021-02-17 0 0001800637 Agrify Corp AGFY 0001831402 Chang Raymond Nobu 101 MIDDLESEX TURNPIKE, SUITE 6, PMB 326 BURLINGTON MA 01803 1 1 0 0 CEO & Chairman of the Board Stock Options 13.84 2021-02-17 4 A 0 650000 0.00 A 2031-02-17 Common Stock 650000 650000 D The options will vest in 36 equal monthly installments beginning on the one month anniversary of the grant date. /s/ Raymond Chang 2021-02-19