0001140361-21-010087.txt : 20210325
0001140361-21-010087.hdr.sgml : 20210325
20210325213328
ACCESSION NUMBER: 0001140361-21-010087
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210323
FILED AS OF DATE: 20210325
DATE AS OF CHANGE: 20210325
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Levy Robert L
CENTRAL INDEX KEY: 0001382288
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39995
FILM NUMBER: 21774373
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
2021-03-23
0001822523
AFC Gamma, Inc.
AFCG
0001382288
Levy Robert L
525 OKEECHOBEE BLVD., SUITE 1770
WEST PALM BEACH
FL
33401
true
Stock Option (right to buy)
19
2021-03-23
4
A
0
1400
0
A
2028-03-23
Common Stock
1400
1400
D
The shares subject to this option fully vested and became exercisable upon the
consummation of the Issuer's initial public offering.
/s/ Regina Braman, Attorney-in-Fact for Robert Levy
2021-03-25