0001213900-23-038527.txt : 20230511 0001213900-23-038527.hdr.sgml : 20230511 20230511160442 ACCESSION NUMBER: 0001213900-23-038527 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230510 FILED AS OF DATE: 20230511 DATE AS OF CHANGE: 20230511 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kaelin Patricia CENTRAL INDEX KEY: 0001976754 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38037 FILM NUMBER: 23910870 MAIL ADDRESS: STREET 1: 990 BISCAYNE STREET 2: #501, OFFICE 12 CITY: MIAMI STATE: FL ZIP: 33132 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 2023-05-10 0 0001023994 SAFE & GREEN HOLDINGS CORP. SGBX 0001976754 Kaelin Patricia C/O SAFE & GREEN HOLDINGS CORP., 990 BISCAYNE BLVD., #501, OFFICE 12 MIAMI FL 33132 0 1 0 0 Chief Financial Officer 0 Common Stock 2023-05-10 4 A 0 60000 0 A 60000 D Represents a grant of restricted stock units ("RSUs") under the Company's Stock Incentive Plan. Each RSU represents the right to receive one share of the issuer's common stock, par value $0.01. The RSUs are vested in full. /s/ Patricia Kaelin 2023-05-11