SEC FORM 3

SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

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1. Name and Address of Reporting Person^*

Shaw John William

(Last)

(First)

(Middle)

1005 E. LAS TUNAS DR. #116

(Street)

SAN GABRIEL

91776

(City)

(State)

(Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
11/28/2022

3. Issuer Name and Ticker or Trading Symbol
SAFE & GREEN HOLDINGS CORP. [ SGBX ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

Director	X	10% Owner
Officer (give title below)		Other (specify below)

5. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock	2,414,000	D

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
1. Title of Derivative Security (Instr. 4)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
Call Option Contract (right to purchase)	⁽¹⁾	05/19/2023	Common Stock	110,000	1	D
Call Option Contract (right to purchase)	⁽¹⁾	05/19/2023	Common Stock	60,000	2	D
Call Option Contract (right to purchase)	⁽¹⁾	05/19/2023	Common Stock	30,000	3	D
Call Option Contract (right to purchase)	⁽¹⁾	08/18/2023	Common Stock	427,000	1	D
Call Option Contract (right to purchase)	⁽¹⁾	08/18/2023	Common Stock	107,500	2	D
Put Option Contract (obligation to purchase)	⁽¹⁾	05/19/2023	Common Stock	185,800	1	D
Put Option Contract (obligation to purchase)	⁽¹⁾	05/19/2023	Common Stock	533,300	2	D
Put Option Contract (obligation to purchase)	⁽¹⁾	08/18/2023	Common Stock	577,000	1	D
Put Option Contract (obligation to purchase)	⁽¹⁾	08/18/2023	Common Stock	10,000	2	D
Call Option Contract (obligation to sell)	⁽¹⁾	08/18/2023	Common Stock	90,000	3	D
Call Option Contract (obligation to sell)	⁽¹⁾	08/18/2023	Common Stock	10,000	4	D

Explanation of Responses:

1. Denotes option exercisable at any time prior to the expiration date.

Remarks:

Additionally, Reporting Person has a family member named Leo Shaw that Reporting Person believes owns approximately 382,500 shares of common stock, or approximately 3.174% of the Issuer (SGBX). Reporting Person has no ability to verify the actual ownership of Leo Shaw in SGBX. Reporting Person has no pecuniary interest in the securities owned by Leo Shaw and disclaims beneficial ownership in any of the shares owned by Leo Shaw. Reporting Person and his family member do not jointly vote their shares.

	/s/ John William Shaw	03/28/2023
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.