0001209191-23-038832.txt : 20230621
0001209191-23-038832.hdr.sgml : 20230621
20230621170704
ACCESSION NUMBER: 0001209191-23-038832
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230620
FILED AS OF DATE: 20230621
DATE AS OF CHANGE: 20230621
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Fagan James C.
CENTRAL INDEX KEY: 0001981751
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39995
FILM NUMBER: 231030734
MAIL ADDRESS:
STREET 1: 123 HARBOR DRIVE, UNIT 211
CITY: STAMFORD
STATE: CT
ZIP: 06902
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
X0407
4
2023-06-20
0
0001822523
AFC Gamma, Inc.
AFCG
0001981751
Fagan James C.
525 OKEECHOBEE BLVD.
SUITE 1650
WEST PALM BEACH
FL
33401
1
0
0
0
0
Common Stock
2023-06-20
4
A
0
1159
0.00
A
1159
D
Common Stock
26520
I
See footnote
Represents restricted stock granted under the Issuer's Stock Incentive Plan and shall vest on the one-year anniversary of June 20, 2023, subject to early termination and adjustment as provided in the applicable restricted stock grant agreement.
The shares are held directly by Civic Reserve LLC, a Wyoming limited liability company. Civic Reserve LLC is wholly owned by the Reporting Person and the Reporting Person's spouse.
Gabriel Katz as attorney-in-fact for James Fagan
2023-06-21