0001213900-23-027651.txt : 20230405
0001213900-23-027651.hdr.sgml : 20230405
20230405181422
ACCESSION NUMBER: 0001213900-23-027651
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230404
FILED AS OF DATE: 20230405
DATE AS OF CHANGE: 20230405
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: 23803784
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: SAFE & GREEN HOLDINGS CORP.
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: SG BLOCKS, INC.
DATE OF NAME CHANGE: 20111122
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
X0407
4
2023-04-04
0
0001023994
SAFE & GREEN HOLDINGS CORP.
SGBX
0001738621
Blumenfeld Yaniv
C/O SAFE & GREEN HOLDINGS CORP., 990
BISCAYNE BLVD., #501, OFFICE 12
MIAMI,
FL
33132
1
0
0
0
0
Common Stock
2023-04-04
4
A
0
37500
0
A
89681
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
2023-04-05