0001683168-18-000224.txt : 20180125
0001683168-18-000224.hdr.sgml : 20180125
20180125171136
ACCESSION NUMBER: 0001683168-18-000224
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180103
FILED AS OF DATE: 20180125
DATE AS OF CHANGE: 20180125
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: 18549045
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
dickman_f4.xml
OWNERSHIP DOCUMENT
X0306
4
2018-01-03
0
0001622879
Medicine Man Technologies, Inc.
MDCL
0001655201
Dickman Paul
C/O MEDICINE MAN TECHNOLOGIES, INC.
4880 HAVANA ST., #201
DENVER
CO
80239
1
0
0
0
Common Stock
2018-01-03
4
A
0
136400
1.445
A
314800
D
Shares issued upon exercise of options granted to Reporting Person pursuant to Option Agreement to Purchase Stock dated June 19, 2017.
/s/ Paul Dickman
2018-01-25