0001493152-21-016736.txt : 20210713 0001493152-21-016736.hdr.sgml : 20210713 20210713160549 ACCESSION NUMBER: 0001493152-21-016736 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210709 FILED AS OF DATE: 20210713 DATE AS OF CHANGE: 20210713 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Shaw Timothy CENTRAL INDEX KEY: 0001866577 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-54433 FILM NUMBER: 211087943 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 2021-07-09 0 0001522767 MARIMED INC. MRMD 0001866577 Shaw Timothy C/O MARIMED INC. 10 OCEANA WAY NORWOOD, MA 02062 0 1 0 0 Chief Operating Officer Common stock 7849508 D Common stock 2000000 I By the Shaw Family Trust Option to buy common stock 0.88 2021-07-09 4 A 0 1250000 A 2026-07-09 Common Stock, par value $.001 per share 1250000 1250000 D Option to buy common stock 0.30 2025-03-31 Common Stock, par value $.001 per share 50000 50000 D The reporting person's spouse is the trustee of the trust and the shares held in the trust are for the benefit of the reporting person's children. The trust is an irrevocable trust. 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. Granted to the reporting person on July 9, 2021 (the "Grant Date"), this option is exercisable to acquire 50% of the underlying shares on the Grant Date and 100% of the shares on or after the one-year anniversary of the Grant Date. Not applicable. Immediately. /s/ Timothy Shaw 2021-07-13