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