0001628280-23-001120.txt : 20230117 0001628280-23-001120.hdr.sgml : 20230117 20230117163521 ACCESSION NUMBER: 0001628280-23-001120 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230116 FILED AS OF DATE: 20230117 DATE AS OF CHANGE: 20230117 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MOSIER MICHELLE O CENTRAL INDEX KEY: 0001182453 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-56468 FILM NUMBER: 23531930 MAIL ADDRESS: STREET 1: 207 WOOD ROAD STREET 2: TREDEGAR CORP CITY: 1100 BOULDERS PARKWAY STATE: VA ZIP: 23225 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Jushi Holdings Inc. CENTRAL INDEX KEY: 0001909747 STANDARD INDUSTRIAL CLASSIFICATION: MEDICINAL CHEMICALS & BOTANICAL PRODUCTS [2833] IRS NUMBER: 981547061 STATE OF INCORPORATION: A1 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 301 YAMATO ROAD STREET 2: SUITE 3250 CITY: BOCA RATON STATE: FL ZIP: 33431 BUSINESS PHONE: 5616179100 MAIL ADDRESS: STREET 1: 301 YAMATO ROAD STREET 2: SUITE 3250 CITY: BOCA RATON STATE: FL ZIP: 33431 3 1 wf-form3_167399130129607.xml FORM 3 X0206 3 2023-01-16 0 0001909747 Jushi Holdings Inc. JUSH/JUSHF 0001182453 MOSIER MICHELLE O 301 YAMATO ROAD, SUITE 3250 BOCA RATON FL 33431 0 1 0 0 Chief Financial Officer Warrant (right to buy) 1.75 2022-12-09 2032-12-09 Warrant (right to buy) 200000.0 D This Warrant will vest as to 20% of the total number of shares subject to the Warrant on the first, second, third, fourth and fifth anniversaries of the vesting commencement date (11/2/2022), subject to continuous service. /s/ Michelle O. Mosier 2023-01-17