0001683168-19-000072.txt : 20190110 0001683168-19-000072.hdr.sgml : 20190110 20190110151935 ACCESSION NUMBER: 0001683168-19-000072 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190103 FILED AS OF DATE: 20190110 DATE AS OF CHANGE: 20190110 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Williams Andrew Johns CENTRAL INDEX KEY: 0001654836 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55450 FILM NUMBER: 19520165 MAIL ADDRESS: STREET 1: 3163 W. 105TH COURT CITY: WESTMINSTER STATE: CO ZIP: 80031 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 ownership.xml X0306 4 2019-01-03 0 0001622879 Medicine Man Technologies, Inc. MDCL 0001654836 Williams Andrew Johns C/O MEDICINE MAN TECHNOLOGIES, INC. 4880 HAVANA ST., #201 DENVER CO 80239 1 1 1 0 CEO Common Stock 2019-01-03 4 S 0 229000 1.00 D 2074506 I See Footnote Held in the name of the Andrew John Williams Revocable Trust Dated May 28, 2015. /s/ Andrew Johns Williams 2019-01-10