0001128732-17-000022.txt : 20170717 0001128732-17-000022.hdr.sgml : 20170717 20170717091345 ACCESSION NUMBER: 0001128732-17-000022 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170607 FILED AS OF DATE: 20170717 DATE AS OF CHANGE: 20170717 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dickman Paul CENTRAL INDEX KEY: 0001655201 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55450 FILM NUMBER: 17966758 MAIL ADDRESS: STREET 1: 4115 SCARLET OAK COURT CITY: CASTLE ROCK STATE: CO ZIP: 80109 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Medicine Man Technologies, Inc. CENTRAL INDEX KEY: 0001622879 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MANAGEMENT CONSULTING SERVICES [8742] IRS NUMBER: 465289499 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4880 HAVANA STREET STREET 2: SUITE 102 SOUTH CITY: DENVER STATE: CO ZIP: 80239 BUSINESS PHONE: 303-371-0387 MAIL ADDRESS: STREET 1: 4880 HAVANA STREET STREET 2: SUITE 102 SOUTH CITY: DENVER STATE: CO ZIP: 80239 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2017-06-07 0 0001622879 Medicine Man Technologies, Inc. MDCL 0001655201 Dickman Paul 4115 SCARLET OAK COURT CASTLE ROCK CO 80109 1 0 0 0 Common Stock 2017-06-07 4 A 0 125000 0.93 A 205000 D Common Stock Warrants 1.445 2017-06-07 4 A 0 250000 0 A 2017-06-07 2019-12-31 Common Stock 250000 250000 D Reporting Person received shares of restricted Common Stock pursuant to the terms of the Issuer's 2017 Equity Incentive Plan. Paul Dickman 2017-07-17