0001104659-24-077440.txt : 20240702
0001104659-24-077440.hdr.sgml : 20240702
20240702173425
ACCESSION NUMBER: 0001104659-24-077440
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240628
FILED AS OF DATE: 20240702
DATE AS OF CHANGE: 20240702
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: 241097271
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
tm2418765-5_4seq1.xml
OWNERSHIP DOCUMENT
X0508
4
2024-06-28
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
80220
1
0
0
0
0
Common Stock
2024-06-28
4
A
0
67308
0
A
314323
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 June 28, 2024) 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/ Christine Jones attorney-in-fact for Pratap Mukharji
2024-07-02