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