0001104659-23-045196.txt : 20230413
0001104659-23-045196.hdr.sgml : 20230413
20230413214134
ACCESSION NUMBER: 0001104659-23-045196
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230411
FILED AS OF DATE: 20230413
DATE AS OF CHANGE: 20230413
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Berger Jonathan W
CENTRAL INDEX KEY: 0001318338
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-55450
FILM NUMBER: 23819556
MAIL ADDRESS:
STREET 1: C/O BOISE INC.
STREET 2: 1111 WEST JEFFERSON STREET, SUITE 200
CITY: BOISE
STATE: ID
ZIP: 83702-5388
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Medicine Man Technologies, Inc.
CENTRAL INDEX KEY: 0001622879
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MANAGEMENT CONSULTING SERVICES [8742]
IRS NUMBER: 465289499
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4880 HAVANA STREET
STREET 2: SUITE 201 SOUTH
CITY: DENVER
STATE: CO
ZIP: 80239
BUSINESS PHONE: 303-371-0387
MAIL ADDRESS:
STREET 1: 4880 HAVANA STREET
STREET 2: SUITE 201 SOUTH
CITY: DENVER
STATE: CO
ZIP: 80239
4
1
tm2312857-2_4seq1.xml
OWNERSHIP DOCUMENT
X0407
4
2023-04-11
0
0001622879
Medicine Man Technologies, Inc.
SHWZ
0001318338
Berger Jonathan W
C/O MEDICINE MAN TECHNOLOGIES, INC.
4880 HAVANA ST., STE. 201
DENVER
CO
80239
1
0
0
0
0
Common Stock
2023-04-11
4
A
0
50971
0
A
240602
D
The issuer granted the reporting person shares of common stock with an aggregate value of $52,500 (based on the closing price of the common stock on the OTCQX Best Market on April 5, 2023) for service on its board of directors.
/s/ Daniel R. Pabon attorney in fact for Jonathan W. Berger
2023-04-13