0001104659-24-001413.txt : 20240104 0001104659-24-001413.hdr.sgml : 20240104 20240104165250 ACCESSION NUMBER: 0001104659-24-001413 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231229 FILED AS OF DATE: 20240104 DATE AS OF CHANGE: 20240104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cozad Jeffrey Alley CENTRAL INDEX KEY: 0001292845 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55450 FILM NUMBER: 24512898 MAIL ADDRESS: STREET 1: C/O MEDICINE MAN TECHNOLOGIES, INC. STREET 2: 4880 HAVANA ST., SUITE 201 CITY: DENVER STATE: CO ZIP: 80239 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Medicine Man Technologies, Inc. CENTRAL INDEX KEY: 0001622879 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MANAGEMENT CONSULTING SERVICES [8742] ORGANIZATION NAME: 07 Trade & Services IRS NUMBER: 465289499 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 865 N. ALBION ST. STREET 2: SUITE 300 CITY: DENVER STATE: CO ZIP: 80220 BUSINESS PHONE: 303-371-0387 MAIL ADDRESS: STREET 1: 865 N. ALBION ST. STREET 2: SUITE 300 CITY: DENVER STATE: CO ZIP: 80220 4 1 tm242104-2_4seq1.xml OWNERSHIP DOCUMENT X0508 4 2023-12-29 0 0001622879 Medicine Man Technologies, Inc. SHWZ 0001292845 Cozad Jeffrey Alley C/O MEDICINE MAN TECHNOLOGIES, INC. 865 N. ALBION ST., STE. 300 DENVER CO 80239 1 0 1 0 0 Common Stock 2023-12-29 4 A 0 45156 0 A 218081 D The issuer granted the reporting person shares of common stock with an aggregate value of $27,500 (based on the closing price of the common stock on the OTCQX Best Market on December 29, 2023) for service on its board of directors. /s/ Daniel Pabon attorney-in-fact for Jeffrey A. Cozad 2024-01-04