SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP


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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Rogers William Jeffrey

(Last) (First) (Middle)
C/O SAFE & GREEN HOLDINGS CORP.,
990 BISCAYNE BLVD., #501, OFFICE 12

(Street)
MIAMI FL 33132

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
SAFE & GREEN HOLDINGS CORP. [ SGBX ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Operating Officer
3. Date of Earliest Transaction (Month/Day/Year)
11/23/2022
4. 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
Rule 10b5-1(c) Transaction Indication

  
Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 11/23/2022 J(1) 4,000 D $1.3421 233,500 D
Common Stock 11/25/2022 J(1) 1,100 D $1.3166 232,400 D
Common Stock 11/28/2022 J(1) 3,225(1) D $1.3058 229,175 D
Common Stock 11/29/2022 J(1) 566(1) D $1.2659 228,609 D
Common Stock 11/30/2022 J(1) 2,051(1) D $1.2609 226,558 D
Common Stock 12/01/2022 J(1) 6,100(1) D $1.234 220,458 D
Common Stock 12/02/2022 J(1) 3,431(1) D $1.2853 217,027 D
Common Stock 12/05/2022 J(1) 700(1) D $1.2563 216,327 D
Common Stock 12/06/2022 J(1) 983(1) D $1.2703 215,344 D
Common Stock 12/07/2022 J(1) 3,502(1) D $1.24 211,842 D
Common Stock 12/08/2022 J(1) 4,400(1) D $1.2488 207,442 D
Common Stock 12/09/2022 J(1) 2,000(1) D $1.238 205,442 D
Common Stock 12/12/2022 J(1) 4,700(1) D $1.239 200,742 D
Common Stock 12/13/2022 J(1) 2,389(1) D $1.3052 198,353 D
Common Stock 12/14/2022 J(1) 1,402(1) D $1.2516 196,951 D
Common Stock 12/15/2022 J(1) 1,488(1) D $1.2087 195,463 D
Common Stock 12/16/2022 J(1) 2,358(1) D $1.21 193,105 D
Common Stock 12/19/2022 J(1) 4,000(1) D $1.1955 189,105 D
Common Stock 12/20/2022 J(1) 2,359(1) D $1.1901 186,746 D
Common Stock 12/21/2022 J(1) 1,717(1) D $1.223 185,029 D
Common Stock 12/22/2022 J(1) 3(1) D $1.2013 185,026 D
Common Stock 02/09/2023 J(1) 2,899(1) D $1.2924 182,127 D
Common Stock 02/10/2023 J(1) 359(1) D $1.2903 181,768 D
Common Stock 02/13/2023 J(1) 1(1) D $1.25 181,767 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. Represents sales of common stock effected under the sole direction of American Stock Transfer & Trust Company, the issuer's transfer agent, to cover the Reporting Person's tax obligations.
/s/ William Jeffrey Rogers 05/10/2023
** 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 4 (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.