0001209191-22-003270.txt : 20220114
0001209191-22-003270.hdr.sgml : 20220114
20220114091951
ACCESSION NUMBER: 0001209191-22-003270
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220111
FILED AS OF DATE: 20220114
DATE AS OF CHANGE: 20220114
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Tannenbaum Robyn
CENTRAL INDEX KEY: 0001842694
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39995
FILM NUMBER: 22530561
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/A
1
doc4a.xml
FORM 4/A SUBMISSION
X0306
4/A
2022-01-11
2022-01-13
0
0001822523
AFC Gamma, Inc.
AFCG
0001842694
Tannenbaum Robyn
525 OKEECHOBEE BLVD., SUITE 1770
WEST PALM BEACH
FL
33401
0
1
0
0
Managing Director
Stock Option (right to buy)
20.18
2022-01-11
4
A
0
50000
0.00
A
2022-01-11
2029-01-10
Common Stock
50000
50000
D
Stock Option (right to buy)
20.18
2022-01-11
4
A
0
500000
0.00
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 original Form 4, filed on January 13, 2022, is being amended by this Form 4/A to correct an administrative error in reporting the number of shares underlying the Stock Option granted on January 11, 2022.
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/Gabriel Katz as Attorney-in-Fact
2022-01-14