0001140361-21-010088.txt : 20210325
0001140361-21-010088.hdr.sgml : 20210325
20210325213432
ACCESSION NUMBER: 0001140361-21-010088
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210323
FILED AS OF DATE: 20210325
DATE AS OF CHANGE: 20210325
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Tannenbaum Robyn
CENTRAL INDEX KEY: 0001842694
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39995
FILM NUMBER: 21774376
MAIL ADDRESS:
STREET 1: 525 OKEECHOBEE BLVD., SUITE 1770
CITY: WEST PALM BEACH
STATE: FL
ZIP: 33401
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
form4.xml
FORM 4
X0306
4
2021-03-23
0001822523
AFC Gamma, Inc.
AFCG
0001842694
Tannenbaum Robyn
525 OKEECHOBEE BLVD., SUITE 1770
WEST PALM BEACH
FL
33401
true
Managing Director
Common Stock
2021-03-23
4
P
0
1000
19
A
1000
D
Common Stock
3342500
I
by spouse
Stock Option (right to buy)
19
2021-03-23
4
A
0
14000
0
A
2028-03-23
Common Stock
14000
14000
D
Stock Option (right to buy)
19
2021-03-23
4
A
0
630000
0
A
2028-03-23
Common Stock
630000
630000
I
by spouse
The shares were purchased in the Issuer's directed share program at the initial public offering price.
The Reporting Person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of the securities for purposes of Section 16 or for any other purpose.
The shares subject to this option fully vested and became exercisable upon the consummation of the Issuer's initial public offering.
/s/ Regina Braman, Attorney-in-Fact for Robyn Tannenbaum
2021-03-25