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