0001213900-23-041953.txt : 20230522
0001213900-23-041953.hdr.sgml : 20230522
20230522155846
ACCESSION NUMBER: 0001213900-23-041953
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230518
FILED AS OF DATE: 20230522
DATE AS OF CHANGE: 20230522
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Shaw John William
CENTRAL INDEX KEY: 0001969685
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38037
FILM NUMBER: 23944306
MAIL ADDRESS:
STREET 1: 1005 E. LAS TUNAS DR.
STREET 2: #116
CITY: SAN GABRIEL
STATE: CA
ZIP: 91776
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
2023-05-18
0
0001023994
SAFE & GREEN HOLDINGS CORP.
SGBX
0001969685
Shaw John William
1005 E. LAS TUNAS DR.
#116
SAN GABRIEL
CA
91776
0
0
1
0
0
Common Stock
2023-05-18
4
X
0
22100
1
A
4454600
D
Common Stock
2023-05-19
4
X
0
368700
2
A
4454600
D
Common Stock
2023-05-19
4
X
0
163700
1
A
4454600
D
Put Option (obligation to buy)
1
2023-05-18
4
X
0
221
0
D
2023-05-19
Common Stock
22100
0
D
Put Option (obligation to buy)
2
2023-05-19
4
X
0
3687
0
D
2023-05-19
Common Stock
368700
0
D
Put Option (obligation to buy)
1
2023-05-19
4
X
0
1637
0
D
2023-05-19
Common Stock
163700
0
D
The counterparty to certain of the Reporting Person's outstanding short put options exercised such options and the Reporting Person was obligated to purchase these shares at an exercise price of $1.00 per share.
The counterparty to certain of the Reporting Person's outstanding short put options exercised such options and the Reporting Person was obligated to purchase these shares at an exercise price of $2.00 per share.
The counterparty to certain of the Reporting Person's outstanding short put options exercised such options and the Reporting Person was obligated to purchase these shares at an exercise price of $1.00 per share.
As of 05/19/2023 this amount includes the rights and/or the obligations to purchase 1,111,900 shares in the aggregate that are exercisable subject to various call and put option contracts.
Denotes option exercisable at any time prior to the expiration date.
/s/ John William Shaw
2023-05-22