# EDGAR Filing Document

**Accession Number:** 0001799661
**File Stem:** 0001437749-23-007489
**Filing Date:** 2023-3
**Character Count:** 6667
**Document Hash:** 379d1c58e36e34fff8c5da6f6e09eea1
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001437749-23-007489.hdr.sgml**: 20230322

**ACCESSION NUMBER**: 0001437749-23-007489

**CONFORMED SUBMISSION TYPE**: 4

**PUBLIC DOCUMENT COUNT**: 1

**CONFORMED PERIOD OF REPORT**: 20230321

**FILED AS OF DATE**: 20230322

**DATE AS OF CHANGE**: 20230322

**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** Galazka Elizabeth
- **CENTRAL INDEX KEY:** 0001799661

**FILING VALUES:**
- **FORM TYPE:** 4
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-39914
- **FILM NUMBER:** 23752248

**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:** 821147778
- **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

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

## FORM 4

### STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

[ ] Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.

---

| | | |
|:---|:---|:---|
| **1. Name and Address of Reporting Person**<sup>*</sup><br>Galazka Elizabeth<br><sub>(Last) (First) (Middle)</sub><br>3175 HIGHWAY 278<br><sub>(Street)</sub><br>COVINGTON, GA 30014<br><sub>(City) (State) (Zip)</sub> | **3. Date of Earliest Transaction (Month/Day/Year)**<br>2023-03-21 | **5. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[ ] Director [ ] 10% Owner<br>[X] Officer (give title below) [ ] Other (specify below)<br>_EVP-Lending_ |
| **2. Issuer Name and Ticker or Trading Symbol**<br>Affinity Bancshares, Inc. [ AFBI ] | **4. If Amendment, Date of Original Filed (Month/Day/Year)**<br>  | **6. Individual or Joint/Group Filing (Check Applicable Line)**<br>[X] Form filed by One Reporting Person<br>[ ] Form filed by More than One Reporting Person |

---

## Table I - Non-Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | 3. Transaction Code (V) | 3. Transaction Code (V) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | Code | V | Amount | (A) or (D) | Price | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| Common Stock |  |  |  |  |  |  |  | 20882<sup>(1)(2)</sup> | D |  |
| Common Stock |  |  |  |  |  |  |  | 1100 | I | By Spouse |
| Common Stock |  |  |  |  |  |  |  | 12000 | I | By IRA |
| Common Stock |  |  |  |  |  |  |  | 18000 | I | By Spouse's IRA |
| Common Stock |  |  |  |  |  |  |  | 2301<sup>(6)</sup> | I | By ESOP |

---

## Table II - Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | 4. Transaction Code (V) | 4. Transaction Code (V) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 6. Date Exercisable and Expiration Date | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Underlying Securities | 7. Title and Amount of Underlying Securities | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
| Stock Options | $14.40 | 2023-03-21 |  | A |  | 5000<sup>(5)</sup> |  | 2024-03-21 | 2033-03-21 | Common Stock | 5000<sup>(5)</sup> | $0 | 5000<sup>(5)</sup> | D |  |
| Stock Options | $14.8500 |  |  |  |  |  |  | 2023-07-01 | 2032-07-01 | Common Stock | 5000<sup>(4)</sup> |  | 5000<sup>(4)</sup> | D |  |
| Stock Options | $7.7700 |  |  |  |  |  |  | 2021-04-30 | 2030-04-30 | Common Stock | 22671<sup>(3)</sup> |  | 22671<sup>(3)</sup> | D |  |

---

### Footnotes:

(1) Includes shares of restricted stock which vest at a rate of 20% per year commencing on April 30, 2021.

(2) Includes shares of restricted stock which vest at a rate of 20% per year commencing on July 1, 2023.

(3) Stock options vest at a rate of 20% per year commencing on April 30, 2021.

(4) Stock options vest at a rate of 20% per year commencing on July 1, 2023.

(5) Stock options vest at a rate of 20% per year commencing on March 21, 2024.

(6) Reflects transaction not required to be reported pursuant to Section 16 of the Securities Exchange Act of 1934, as amended.

**Signature:** /s/ Ned A. Quint, pursuant to power of attorney  
**Date:** 2023-03-22

### Remarks:

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.**