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