0001213900-22-074376.txt : 20221122 0001213900-22-074376.hdr.sgml : 20221122 20221122070009 ACCESSION NUMBER: 0001213900-22-074376 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221118 FILED AS OF DATE: 20221122 DATE AS OF CHANGE: 20221122 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Blumenfeld Yaniv CENTRAL INDEX KEY: 0001738621 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38037 FILM NUMBER: 221407443 MAIL ADDRESS: STREET 1: C/O SG BLOCKS, INC. STREET 2: 195 MONTAGUE STREET, 14TH FLOOR CITY: BROOKLYN STATE: NY ZIP: 11201 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SG BLOCKS, INC. CENTRAL INDEX KEY: 0001023994 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-LUMBER & OTHER CONSTRUCTION MATERIALS [5030] IRS NUMBER: 954463937 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 195 MONTAGUE STREET, 14TH FLOOR CITY: BROOKLYN STATE: NY ZIP: 11201 BUSINESS PHONE: (646) 240-4235 MAIL ADDRESS: STREET 1: 195 MONTAGUE STREET, 14TH FLOOR CITY: BROOKLYN STATE: NY ZIP: 11201 FORMER COMPANY: FORMER CONFORMED NAME: CDSI HOLDINGS INC DATE OF NAME CHANGE: 19990114 FORMER COMPANY: FORMER CONFORMED NAME: PC411 INC DATE OF NAME CHANGE: 19961001 4 1 ownership.xml X0306 4 2022-11-18 0 0001023994 SG BLOCKS, INC. SGBX 0001738621 Blumenfeld Yaniv C/O SG BLOCKS, INC., 5011 GATE PARKWAY, BUILDING 100, SUITE 100 JACKSONVILLE, FL 32256 1 0 0 0 Common Stock 2022-11-18 4 A 0 20000 0 A 52181 D Common Stock 25000 I Held by Illanit Blumenfeld, Mr. Blumenfeld's wife Represents a grant of restricted stock units ("RSUs") under the SG Blocks, Inc. Stock Incentive Plan. Each RSU represents the right to receive, upon vesting, one share of the issuer's common stock, par value $0.01. The RSUs will vest pro rata quarterly over 24 months, subject to the reporting person's continued service as a director of the issuer through such date. /s/ Yaniv Blumenfeld 2022-11-22