0001209191-23-002045.txt : 20230105 0001209191-23-002045.hdr.sgml : 20230105 20230105180134 ACCESSION NUMBER: 0001209191-23-002045 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230103 FILED AS OF DATE: 20230105 DATE AS OF CHANGE: 20230105 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: 23512781 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 doc4.xml FORM 4 SUBMISSION X0306 4 2023-01-03 0 0001822523 AFC Gamma, Inc. AFCG 0001842694 Tannenbaum Robyn 525 OKEECHOBEE BLVD., SUITE 1650 WEST PALM BEACH FL 33401 0 1 0 0 Managing Director Common Stock 2023-01-03 4 A 0 25690 15.57 A 28690 D Common Stock 2023-01-03 4 A 0 51380 15.57 A 3415063 I Held by spouse Represents restricted stock granted under the Issuer's Stock Incentive Plan and shall vest over a three-year period with approximately 33% vesting on each of the first, second and third anniversaries of January 3, 2023, subject to early termination and adjustment as provided in the applicable restricted stock grant agreement. 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 Gabriel Katz, attorney-in-fact for Robyn Tannenbaum 2023-01-05