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