0001683168-21-001699.txt : 20210430 0001683168-21-001699.hdr.sgml : 20210430 20210430214359 ACCESSION NUMBER: 0001683168-21-001699 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191205 FILED AS OF DATE: 20210430 DATE AS OF CHANGE: 20210430 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Pabon Daniel CENTRAL INDEX KEY: 0001801407 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55450 FILM NUMBER: 21880979 MAIL ADDRESS: STREET 1: 4880 HAVANA STREET, SUITE 201 CITY: DENVER STATE: CO ZIP: 80212 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 201 SOUTH CITY: DENVER STATE: CO ZIP: 80239 BUSINESS PHONE: 303-371-0387 MAIL ADDRESS: STREET 1: 4880 HAVANA STREET STREET 2: SUITE 201 SOUTH CITY: DENVER STATE: CO ZIP: 80239 4 1 ownership.xml X0306 4 2019-12-05 0 0001622879 Medicine Man Technologies, Inc. MDCL 0001801407 Pabon Daniel C/O MEDICINE MAN TECHNOLOGIES, INC. 4880 HAVANA STREET, SUITE 201 DENVER CO 80239 0 1 0 0 General Counsel Employee Stock Option (Right to Buy) 2.85 2019-12-05 4 A 0 550000 0 A 2029-12-04 Common Stock 550000 550000 D Employee Stock Option (Right to Buy) 1.52 2020-03-27 4 A 0 100000 0 A 2030-03-26 Common Stock 100000 100000 D Employee Stock Option (Right to Buy) 1.26 2020-12-15 4 A 0 550000 A 2030-12-14 Common Stock 550000 550000 D Employee Stock Option (Right to Buy) 2.85 2020-12-15 4 D 0 550000 D 2029-12-04 Common Stock 550000 0 D Employee Stock Option (Right to Buy) 1.26 2020-12-15 4 A 0 100000 A 2030-12-14 Common Stock 100000 100000 D Employee Stock Option (Right to Buy) 1.52 2020-12-15 4 D 0 100000 D 2030-03-26 Common Stock 100000 0 D The options vest in four (4) equal annual installments on each anniversary of the grant date, beginning on December 5, 2020. The options vest in four (4) equal annual installments on each anniversary of the grant date, beginning on March 27, 2021. 25% of the option vested immediately upon grant on December 15, 2020. The remainder of the stock option vests in three (3) equal annual installments beginning on December 5, 2021 and the following two (2) anniversaries. The reporting person agreed to cancellation of (i) an option to purchase 550,000 shares of common stock granted to him on December 5, 2019, and (ii) an option to purchase 100,000 shares of common stock granted to him on March 27, 2020, in each case, for a new option having a lower exercise price. The options vest in four (4) equal annual installments beginning on March 27, 2021 and the following three (3) anniversaries. /s/ Daniel R. Pabon 2021-04-30