0001104659-24-001417.txt : 20240104 0001104659-24-001417.hdr.sgml : 20240104 20240104165607 ACCESSION NUMBER: 0001104659-24-001417 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231229 FILED AS OF DATE: 20240104 DATE AS OF CHANGE: 20240104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mukharji Pratap Chandra CENTRAL INDEX KEY: 0001858854 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55450 FILM NUMBER: 24512940 MAIL ADDRESS: STREET 1: 4880 HAVANA STREET STREET 2: SUITE 201 CITY: DENVER STATE: CO ZIP: 80239 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Medicine Man Technologies, Inc. CENTRAL INDEX KEY: 0001622879 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MANAGEMENT CONSULTING SERVICES [8742] ORGANIZATION NAME: 07 Trade & Services IRS NUMBER: 465289499 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 865 N. ALBION ST. STREET 2: SUITE 300 CITY: DENVER STATE: CO ZIP: 80220 BUSINESS PHONE: 303-371-0387 MAIL ADDRESS: STREET 1: 865 N. ALBION ST. STREET 2: SUITE 300 CITY: DENVER STATE: CO ZIP: 80220 4 1 tm242104-5_4seq1.xml OWNERSHIP DOCUMENT X0508 4 2023-12-29 0 0001622879 Medicine Man Technologies, Inc. SHWZ 0001858854 Mukharji Pratap Chandra C/O MEDICINE MAN TECHNOLOGIES, INC. 865 N. ALBION ST., STE. 300 DENVER CO 80239 1 0 0 0 0 Common Stock 2023-12-29 4 A 0 43103 0 A 215003 D Common Stock 39683 I See Footnote The issuer granted the reporting person shares of common stock with an aggregate value of $26,250 (based on the closing price of the common stock on the OTCQX Best Market on December 29, 2023) for service on its board of directors. Magnolia Hall Enterprises, LLC (the "Holder") is the record holder of the reported shares. Mr. Mukharji is the manager and 100% owner of the Holder and has voting and investment control of the shares held by the Holder. /s/ Daniel R. Pabon attorney in fact for Pratap Mukharji 2024-01-04