0001213900-24-005074.txt : 20240122 0001213900-24-005074.hdr.sgml : 20240122 20240122080022 ACCESSION NUMBER: 0001213900-24-005074 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20240122 DATE AS OF CHANGE: 20240122 EFFECTIVENESS DATE: 20240122 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SAFE & GREEN HOLDINGS CORP. CENTRAL INDEX KEY: 0001023994 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-LUMBER & OTHER CONSTRUCTION MATERIALS [5030] ORGANIZATION NAME: 07 Trade & Services IRS NUMBER: 954463937 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-503016 FILM NUMBER: 24547109 BUSINESS ADDRESS: STREET 1: 195 MONTAGUE STREET, 14TH FLOOR CITY: BROOKLYN STATE: NY ZIP: 11201 BUSINESS PHONE: (646) 240-4235 MAIL ADDRESS: STREET 1: 195 MONTAGUE STREET, 14TH FLOOR CITY: BROOKLYN STATE: NY ZIP: 11201 FORMER COMPANY: FORMER CONFORMED NAME: SG BLOCKS, INC. DATE OF NAME CHANGE: 20111122 FORMER COMPANY: FORMER CONFORMED NAME: CDSI HOLDINGS INC DATE OF NAME CHANGE: 19990114 FORMER COMPANY: FORMER CONFORMED NAME: PC411 INC DATE OF NAME CHANGE: 19961001 D 1 primary_doc.xml X0708 D LIVE 0001023994 SAFE & GREEN HOLDINGS CORP. 990 BISCAYNE BLVD. SUITE 501, OFFICE 12 MIAMI FL FLORIDA 33132 (646) 240-4235 DELAWARE SG Blocks, Inc. CDSI Holdings, Inc. PC411 Inc. SG BLOCKS, INC. CDSI HOLDINGS INC PC411 INC Corporation true Paul Galvin 990 Biscayne Blvd. Suite 501, Office 12 Miami FL FLORIDA 33132 Executive Officer Director Patricia Kaelin 990 Biscayne Blvd. Suite 501, Office 12 Miami FL FLORIDA 33132 Executive Officer David Villarreal 990 Biscayne Blvd. Suite 501, Office 12 Miami FL FLORIDA 33132 Director Christopher Melton 990 Biscayne Blvd. Suite 501, Office 12 Miami FL FLORIDA 33132 Director Shafron E. Hawkins 990 Biscayne Blvd. Suite 501, Office 12 Miami FL FLORIDA 33132 Director Jill Anderson 990 Biscayne Blvd. Suite 501, Office 12 Miami FL FLORIDA 33132 Director Thomas Meharey 990 Biscayne Blvd. Suite 501, Office 12 Miami FL FLORIDA 33132 Director Other Real Estate Decline to Disclose 06b false 2024-01-12 false true true true true false 0 Maxim Group LLC 120708 None None 300 PARK AVENUE 16TH FLOOR NEW YORK NY NEW YORK 10022 FL FLORIDA false 1300000 650000 650000 First tranche: $650 million convertible debenture, warrant to purchase 375,000 shares of common stock, and 300,000 commitment shares. Second tranche may occur after 3/11/24 of same securities in same amounts. false 1 40950 true 0 Assuming the second tranche is closed, a placement fee in an amount equal to $40,950 will be payable by the Company to Maxim upon closing of the second tranche. 0 true While no offering proceeds are set aside for payments to the named officers or directors, it is possible that some proceeds to be used as working capital will be used indirectly for paying salaries to employees including executive officers. false SAFE & GREEN HOLDINGS CORP. /s/ Patricia Kaelin Patricia Kaelin Chief Financial Officer 2024-01-22