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