0001683168-17-002442.txt : 20170921
0001683168-17-002442.hdr.sgml : 20170921
20170921202822
ACCESSION NUMBER: 0001683168-17-002442
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170920
FILED AS OF DATE: 20170921
DATE AS OF CHANGE: 20170921
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Roper Brett
CENTRAL INDEX KEY: 0001654610
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-55450
FILM NUMBER: 171096602
MAIL ADDRESS:
STREET 1: 4142 S. CATHAY WAY
CITY: AURORA
STATE: CO
ZIP: 80013
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/A
1
roper_frm4a.xml
OWNERSHIP DOCUMENT
X0306
4/A
2017-09-20
2017-09-20
0
0001622879
Medicine Man Technologies, Inc.
MDCL
0001654610
Roper Brett
19469 E. QUINCY PLACE
AURORA
CO
80015
1
1
0
0
CEO
Common Stock
2017-09-20
4
J
0
30000
1.0665
A
676000
D
Class B Warrant
1.33
2017-09-20
4
J
0
30000
0
A
2017-09-20
2019-05-20
Class B Warrant
30000
30000
D
J - The shares and warrants were acquired directly from the Issuer as part of its private offering of securities onthe same terms and conditions offered to other investors.
/s/ Brett Edward Roper
2017-09-21