0001493152-19-018375.txt : 20191125 0001493152-19-018375.hdr.sgml : 20191125 20191125165652 ACCESSION NUMBER: 0001493152-19-018375 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160101 FILED AS OF DATE: 20191125 DATE AS OF CHANGE: 20191125 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Levine Jon R CENTRAL INDEX KEY: 0001789645 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-54433 FILM NUMBER: 191246833 MAIL ADDRESS: STREET 1: C/O MARIMED INC. STREET 2: 10 OCEANA WAY CITY: NORWOOD STATE: MA ZIP: 02062 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MARIMED INC. CENTRAL INDEX KEY: 0001522767 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROCESSING & DATA PREPARATION [7374] IRS NUMBER: 274672745 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 26 OSSIPEE RD STREET 2: SUITE 201 CITY: NEWTON STATE: MA ZIP: 02464 BUSINESS PHONE: 617-795-5140 MAIL ADDRESS: STREET 1: 26 OSSIPEE RD STREET 2: SUITE 201 CITY: NEWTON STATE: MA ZIP: 02464 FORMER COMPANY: FORMER CONFORMED NAME: WORLDS ONLINE INC. DATE OF NAME CHANGE: 20110608 4 1 ownership.xml X0306 4 2016-01-01 0 0001522767 MARIMED INC. MRMD 0001789645 Levine Jon R C/O MARIMED INC. 10 OCEANA WAY NORWOOD, MA 02062 1 1 1 0 CFO, Treasurer and Secretary Common stock 2017-06-30 4 P 0 14807500 A 19635343 D Common stock 2017-06-30 4 P 0 4687500 A 6684640 I By the Jon Levine Family Trust Option to buy common stock 0.14 2016-01-01 4 A 0 350000 A 2020-12-31 Common Stock, par value $.001 per share 350000 350000 D Option to buy common stock 0.63 2017-01-01 4 A 0 100000 A 2021-12-31 Common Stock, par value $.001 per share 100000 100000 D The reporting person acquired the common stock in exchange for his ownership interest in MariMed Advisors Inc., a subsidiary of the issuer, having an estimated market value of approximately $3,702,000. Immediately. Not applicable. The common stock was acquired in exchange for the trust's ownership interest in MariMed Advisors Inc., a subsidiary of the issuer, having an estimated market value of approximately $1,172,000. These shares are held in trust for the benefit of the reporting person's spouse and children. The reporting person disclaims beneficial ownership of these securities, and the filing of this report is not an admission that the reporting person is the beneficial owner of these securities for purposes of Section 16 or for any other purpose. /s/ Jon R. Levine 2019-11-25