0001104659-24-004104.txt : 20240116 0001104659-24-004104.hdr.sgml : 20240116 20240116160737 ACCESSION NUMBER: 0001104659-24-004104 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231121 FILED AS OF DATE: 20240116 DATE AS OF CHANGE: 20240116 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: 24535219 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 tm242104-12_4seq1.xml OWNERSHIP DOCUMENT X0508 4 2023-11-21 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 2023-11-21 4 P 0 10000 0.6141 A 1610000 D Common Stock 2023-11-29 4 P 0 6600 0.5898 A 1616600 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 1,600,000 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. /s/ Daniel R. Pabon attorney-in-fact for Nirup Krishnamurthy 2024-01-16