0001140361-22-001645.txt : 20220113 0001140361-22-001645.hdr.sgml : 20220113 20220113180058 ACCESSION NUMBER: 0001140361-22-001645 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220111 FILED AS OF DATE: 20220113 DATE AS OF CHANGE: 20220113 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: 22529985 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 2022-01-11 0001822523 AFC Gamma, Inc. AFCG 0001842694 Tannenbaum Robyn 525 OKEECHOBEE BLVD., SUITE 1770 WEST PALM BEACH FL 33401 true Managing Director Stock Option (right to buy) 20.18 2022-01-11 4 A 0 50000 0 A 2022-01-11 2029-01-10 Common Stock 5000 50000 D Stock Option (right to buy) 20.18 2022-01-11 4 A 0 500000 0 A 2022-01-11 2029-01-10 Common Stock 500000 500000 I By spouse The Stock Option is fully vested and became exercisable immediately upon grant. 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. /s/ Regina Braman, Attorney-in-Fact Robyn Tannenbaum 2022-01-13