0001140361-22-001646.txt : 20220113
0001140361-22-001646.hdr.sgml : 20220113
20220113180101
ACCESSION NUMBER: 0001140361-22-001646
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220111
FILED AS OF DATE: 20220113
DATE AS OF CHANGE: 20220113
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TANNENBAUM LEONARD M
CENTRAL INDEX KEY: 0001200461
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39995
FILM NUMBER: 22529986
MAIL ADDRESS:
STREET 1: 525 OKEECHOBEE BLVD., SUITE 1770
CITY: WEST PALM BEACH
STATE: FL
ZIP: 33401
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: AFC Gamma, Inc.
CENTRAL INDEX KEY: 0001822523
STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE [6500]
IRS NUMBER: 851807125
STATE OF INCORPORATION: MD
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 525 OKEECHOBEE BLVD., SUITE 1770
CITY: WEST PALM BEACH
STATE: FL
ZIP: 33401
BUSINESS PHONE: 561.510.2390
MAIL ADDRESS:
STREET 1: 525 OKEECHOBEE BLVD., SUITE 1770
CITY: WEST PALM BEACH
STATE: FL
ZIP: 33401
4
1
form4.xml
FORM 4
X0306
4
2022-01-11
0001822523
AFC Gamma, Inc.
AFCG
0001200461
TANNENBAUM LEONARD M
525 OKEECHOBEE BLVD., SUITE 1770
WEST PALM BEACH
FL
33401
true
true
true
Chief Executive Officer
Stock Option (right to buy)
20.18
2022-01-11
4
A
0
500000
0
A
2022-01-11
2029-01-10
Common Stock
500000
500000
D
Stock Option (right to buy)
20.18
2022-01-11
4
A
0
50000
0
A
2022-01-11
2029-01-10
Common Stock
50000
50000
I
By spouse
The Stock Option is fully vested and became exercisable immediately upon grant.
The Reporting Person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of the securities for purposes of Section 16 or for any other purpose.
/s/ Regina Braman, Attorney-in-Fact Leonard M. Tannenbaum
2022-01-13