0001213900-23-090565.txt : 20231128 0001213900-23-090565.hdr.sgml : 20231128 20231128161012 ACCESSION NUMBER: 0001213900-23-090565 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231127 FILED AS OF DATE: 20231128 DATE AS OF CHANGE: 20231128 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SAFE & GREEN HOLDINGS CORP. CENTRAL INDEX KEY: 0001023994 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-LUMBER & OTHER CONSTRUCTION MATERIALS [5030] STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41581 FILM NUMBER: 231446503 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 NAME: FORMER CONFORMED NAME: SG BLOCKS, INC. DATE OF NAME CHANGE: 20111122 FORMER NAME: FORMER CONFORMED NAME: CDSI HOLDINGS INC DATE OF NAME CHANGE: 19990114 FORMER NAME: FORMER CONFORMED NAME: PC411 INC DATE OF NAME CHANGE: 19961001 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Safe & Green Development Corp CENTRAL INDEX KEY: 0001959023 STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE [6500] IRS NUMBER: 871375590 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5011 GATE PARKWAY STREET 2: BUILDING 100 CITY: JACKSONVILLE STATE: FL ZIP: 32256 BUSINESS PHONE: (646) 240-4235 MAIL ADDRESS: STREET 1: 5011 GATE PARKWAY STREET 2: BUILDING 100 CITY: JACKSONVILLE STATE: FL ZIP: 32256 4 1 ownership.xml X0508 4 2023-11-27 0 0001959023 Safe & Green Development Corp SGD 0001023994 SAFE & GREEN HOLDINGS CORP. 990, BISCAYNE BLVD., #501, OFFICE 12 MIAMI, FL 33132 0 0 1 0 0 Common Stock 2023-11-27 4 J 0 93088 0 D 6553508 D The transaction reported on this Form 4 relates to the distribution of shares of common stock of the Issuer pursuant to the terms of an outstanding warrant for no additional consideration. /s/ Patricia Kaelin, Chief Financial Officer of Safe & Green Holdings Corp. 2023-11-28