0001104659-24-002518.txt : 20240109
0001104659-24-002518.hdr.sgml : 20240109
20240109114025
ACCESSION NUMBER: 0001104659-24-002518
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230524
FILED AS OF DATE: 20240109
DATE AS OF CHANGE: 20240109
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Krishnamurthy Nirup
CENTRAL INDEX KEY: 0001825865
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-55450
FILM NUMBER: 24522339
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
tm242104-10_4seq1.xml
OWNERSHIP DOCUMENT
X0508
4
2023-05-24
0
0001622879
Medicine Man Technologies, Inc.
SHWZ
0001825865
Krishnamurthy Nirup
C/O MEDICINE MAN TECHNOLOGIES, INC.
865 N. ALBION ST., STE 300
DENVER
CO
80220
1
1
0
0
Chief Executive Officer
0
Common Stock
2023-05-24
4
A
0
1600000
0
A
1600000
D
Employee Stock Option (Right to Buy)
1.035
2023-05-24
4
A
0
800000
0
A
2033-05-24
Common Stock
800000
2000000
D
Issued as restricted stock units (RSUs) in connection with reporting persons retainer as director under the Company's 2017 Equity Incentive Plan and exempt from Section 16(b) by virtue of Rule 16(b)-b(d)(1) and (3). The RSU's are reportable, however, as directly owned shares of common stock, rather as a derivative security in Table II, because any and all underlying RSUs are payable, at such time as they are to be settled, solely in common stock. See Lincoln National Corp. (March 20, 1992) (Q.3).
The options vest in four (4) equal annual installments on each anniversary of the grant date, beginning on May 24, 2023.
The options vest in four (4) equal annual installments on each anniversary of the grant date, beginning on May 24, 2024.
/s/ Daniel Pabon, as Attorney-in-Fact for Nirup Krishnamurthy
2024-01-08