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