0001213900-24-016983.txt : 20240226 0001213900-24-016983.hdr.sgml : 20240226 20240226180301 ACCESSION NUMBER: 0001213900-24-016983 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240222 FILED AS OF DATE: 20240226 DATE AS OF CHANGE: 20240226 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Villarreal David Roberto CENTRAL INDEX KEY: 0001866214 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41581 FILM NUMBER: 24680780 MAIL ADDRESS: STREET 1: 17 STATE STREET STREET 2: 19TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10004 FORMER NAME: FORMER CONFORMED NAME: Villareal David DATE OF NAME CHANGE: 20210607 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Safe & Green Development Corp CENTRAL INDEX KEY: 0001959023 STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE [6500] ORGANIZATION NAME: 05 Real Estate & Construction IRS NUMBER: 871375590 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5011 GATE PARKWAY STREET 2: BUILDING 100 CITY: JACKSONVILLE STATE: FL ZIP: 32256 BUSINESS PHONE: (646) 240-4235 MAIL ADDRESS: STREET 1: 5011 GATE PARKWAY STREET 2: BUILDING 100 CITY: JACKSONVILLE STATE: FL ZIP: 32256 4 1 ownership.xml X0508 4 2024-02-22 0 0001959023 Safe & Green Development Corp SGD 0001866214 Villarreal David Roberto C/O SAFE AND GREEN DEVELOPMENT CORP., 990 BISCAYNE BLVD., #501, OFFICE 12 MIAMI FL 33132 1 1 0 0 Chief Executive Officer 0 Common Stock 2024-02-22 4 F 0 218780 0.92 D 459146 D These shares were withheld by the Issuer to satisfy the Reporting Person's tax withholding obligations. Such withholding is treated as a disposition of securities under Section 16 of the Securities Exchange Act of 1934, as amended. Includes 27,926 shares which the reporting person received in connection with the distribution (the "Distribution") by Safe & Green Holdings Corp. ("SG Holdings") of approximately 30% of the outstanding shares of common stock of Safe and Green Development Corporation to SG Holdings' stockholders on a pro rata basis which transaction was exempt from reporting. /s/ Nicolai Ayrton Brune Attorney-in-Fact 2024-02-26