0001628280-23-040571.txt : 20231204
0001628280-23-040571.hdr.sgml : 20231204
20231204115745
ACCESSION NUMBER: 0001628280-23-040571
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231117
FILED AS OF DATE: 20231204
DATE AS OF CHANGE: 20231204
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Cacioppo James
CENTRAL INDEX KEY: 0001455939
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-56468
FILM NUMBER: 231461867
MAIL ADDRESS:
STREET 1: 551 MADISON AVENUE
STREET 2: 10TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
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
4/A
1
wk-form4a_1701709055.xml
FORM 4/A
X0508
4/A
2023-11-17
2023-11-21
0
0001909747
Jushi Holdings Inc.
JUSH/JUSHF
0001455939
Cacioppo James
C/O JUSHI HOLDINGS INC.
301 YAMATO ROAD, SUITE 3250
BOCA RATON
FL
33431
1
1
1
0
Chief Executive Officer
0
Stock Option (right to buy)
3.91
2023-11-17
4
D
0
3000000
D
2031-10-27
Subordinate Voting Shares
3000000
0
D
One-third of the Option will vest on each of the first, second and third anniversaries of the Vesting Commencement Date (5/1/2021), subject to continuous service.
On November 17, 2023, the issuer canceled, pursuant to the reporting person's employment agreement, an option for 3,000,000 shares of the issuer's Subordinate Voting Shares granted to the reporting person.
Does not include options and warrants to purchase an aggregate of 29,490,551 Subordinated Voting Shares of different classes held directly or indirectly by such reporting person. For future filings, the reporting person intends to report in column 9 of Table II only the shares beneficially held of the same class for any reported transaction pursuant to SEC guidance.
The purpose of this amendment is to correct the total derivative securities beneficially held of all classes, now included in footnote 3, to reflect that warrants to purchase 175,000 Subordinate Voting Shares of another class had previously expired on September 27, 2023.
/s/ James Cacioppo
2023-12-04