Sec Form 4/A Filing - Shaw John William @ SAFE & GREEN HOLDINGS CORP. - 2023-04-06

Insider filing report for Changes in Beneficial Ownership
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FORM 4/A
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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, Section 17(a) of the Public Utility Holding Company Act of 1935 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
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 X __ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
1005 E. LAS TUNAS DR., #116
3. Date of Earliest Transaction (MM/DD/YY)
04/06/2023
(Street)
SAN GABRIEL, CA91776
4. If Amendment, Date Original Filed (MM/DD/YY)
05/02/2023
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 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 04/06/2023 X( 1 ) 162,100 A $ 2 4,454,600 ( 2 ) D
Common Stock 04/12/2023 X( 1 ) 2,500 A $ 2 4,454,600 ( 2 ) 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 (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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 of Derivative Security: 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
Put Option (obligation to buy) $ 2 04/06/2023 X( 1 ) 1,621 ( 3 ) 05/19/2023 Common Stock 162,100 $ 0 ( 4 ) 0 ( 5 ) D
Put Option (obligation to buy) $ 2 04/12/2023 X( 1 ) 25 ( 3 ) 05/19/2023 Common Stock 2,500 $ 0 ( 4 ) 0 ( 5 ) D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Shaw John William
1005 E. LAS TUNAS DR.
#116
SAN GABRIEL, CA91776
X
Signatures
/s/ John William Shaw 05/02/2023
Signature of Reporting Person Date
Explanation of Responses:
( 1 )On April 27, 2023 the reporting person filed a Form 4 which inadvertently reported "C" as the Transaction Code. The correct Transaction Code Date is "X".
( 2 )On April 27, 2023 the reporting person filed a Form 4 which inadvertently reported 4,452,100 as the Amount of Securities Beneficially Owned Following Reported Transaction. The correct Amount of Securities Beneficially Owned Following Reported Transaction is 4,454,600. For clarity purposes 4,454,600 includes (a) 2,576,500 shares of common stock and (b) rights and/or options to purchase 1,878,100 shares in the aggregate, that are exercisable subject to various call and put option contracts as of 04/06/2023. Further, 4,454,600 includes (a) 2,579,000 shares of common stock and (b) rights and/or options to purchase 1,875,600 shares in the aggregate, that are exercisable subject to various call and put option contracts as of 04/12/2023.
( 3 )Denotes option exercisable at any time prior to the expiration date.
( 4 )On April 27, 2023 the reporting person filed a Form 4 which inadvertently reported $0.7 as the Price of Derivative Security. The correct Price of Derivative Security is $0.
( 5 )On April 27, 2023 the reporting person filed a Form 4 which inadvertently reported 3,712 and 3,687, respectively, as the Number of derivative Securities Beneficially Owned Following Reported Transactions. The correct Number of derivative Securities Beneficially Owned Following Reported Transactions is 0 in both transactions.

Remarks:
On April 27, 2023 the reporting person filed a Form 4 which inadvertently reported 1/23/2023 as the Date of the Earliest Transaction. The correct Date of the Earliest Transaction is 04/06/2023.

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).

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