0001567619-21-001362.txt : 20210122
0001567619-21-001362.hdr.sgml : 20210122
20210122124013
ACCESSION NUMBER: 0001567619-21-001362
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210121
FILED AS OF DATE: 20210122
DATE AS OF CHANGE: 20210122
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Roberts Howard G
CENTRAL INDEX KEY: 0001721657
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39914
FILM NUMBER: 21544934
MAIL ADDRESS:
STREET 1: 3175 HIGHWAY 278
CITY: COVINGTON
STATE: GA
ZIP: 30014
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Affinity Bancshares, Inc.
CENTRAL INDEX KEY: 0001823406
STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTIONS, NOT FEDERALLY CHARTERED [6036]
IRS NUMBER: 000000000
STATE OF INCORPORATION: MD
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3175 HIGHWAY 278
CITY: COVINGTON
STATE: GA
ZIP: 30014
BUSINESS PHONE: (770) 786-7088
MAIL ADDRESS:
STREET 1: 3175 HIGHWAY 278
CITY: COVINGTON
STATE: GA
ZIP: 30014
4
1
doc1.xml
FORM 4
X0306
4
2021-01-21
0
0001823406
Affinity Bancshares, Inc.
AFBI
0001721657
Roberts Howard G
3175 HIGHWAY 278
COVINGTON
GA
30014
1
0
0
0
Common Stock
2021-01-21
4
P
0
3000
10.85
A
9801
D
Common Stock
903
I
As Custodian for Grandchild
Stock Options
9.1593
2020-04-23
2029-04-23
Common Stock
20364
20364
D
Shares of restricted stock vest at a rate of 20% per year commencing on April 23, 2020.
Stock options vest at a rate of 20% per year commencing on April 23, 2020.
/s/ Ned A. Quint, pursuant to power of attorney
2021-01-22