0001140361-21-010094.txt : 20210325 0001140361-21-010094.hdr.sgml : 20210325 20210325213813 ACCESSION NUMBER: 0001140361-21-010094 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: Bond Jodi Hanson CENTRAL INDEX KEY: 0001705973 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39995 FILM NUMBER: 21774389 MAIL ADDRESS: STREET 1: 777 WEST PUTNAM AVENUE, 3RD FLOOR CITY: GREENWICH STATE: CT ZIP: 06830 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 0001705973 Bond Jodi Hanson 525 OKEECHOBEE BLVD., SUITE 1770 WEST PALM BEACH FL 33401 true Common Stock 2021-03-23 4 P 0 1200 19 A 11008 D 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 were purchased in the Issuer's directed share program at the initial offering price by the Reporting Person. 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 Jodi Bond 2021-03-25