0001493152-22-030024.txt : 20221031 0001493152-22-030024.hdr.sgml : 20221031 20221031171923 ACCESSION NUMBER: 0001493152-22-030024 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221027 FILED AS OF DATE: 20221031 DATE AS OF CHANGE: 20221031 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: 221347166 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: MEDICINAL CHEMICALS & BOTANICAL PRODUCTS [2833] 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 2022-10-27 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 20012087 D Common stock 6684640 I By the Jon Levine Family Trust Restricted Stock Units (RSU) 2022-10-27 4 A 0 833333 0 A Common Stock, par value $.001 per share 833333 833333 D Option to buy common stock 0.898 2026-10-01 Common Stock, par value $.001 per share 5000000 5000000 D Option to buy common stock 0.88 2026-07-09 Common Stock, par value $.001 per share 5000000 5000000 D 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. The RSUs were granted to the Reporting Person in accordance with Rule 16b-3(d) of the Securities Exchange Act of 1934, as amended. Each RSU represents a contingent right to receive one share of the Issuer's common stock. RSUs convert to common stock on a one-for-one basis. The RSUs vest over a three year period in equal one-sixth installments every six months following the October 27, 2022 grant date, in accordance with the terms of an award agreement between the Issuer and the Reporting Person. Immediately. /s/ Jon R. Levine 2022-10-28