0001683168-22-004383.txt : 20220615
0001683168-22-004383.hdr.sgml : 20220615
20220615194151
ACCESSION NUMBER: 0001683168-22-004383
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220614
FILED AS OF DATE: 20220615
DATE AS OF CHANGE: 20220615
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Garwood Jeff
CENTRAL INDEX KEY: 0001825751
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-55450
FILM NUMBER: 221019069
MAIL ADDRESS:
STREET 1: 55 TABBY CIRCLE
CITY: DAUFUSKIE ISLAND
STATE: SC
ZIP: 29915
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
2022-06-14
0
0001622879
Medicine Man Technologies, Inc.
SHWZ
0001825751
Garwood Jeff
C/O MEDICINE MAN TECHNOLOGIES, INC.
4880 HAVANA ST., STE. 201
DENVER
CO
80239
1
0
0
0
Common Stock
2022-06-14
4
A
0
22728
A
255926
D
Employee Stock Option (Right to Buy)
1.72
2022-06-14
4
D
0
20349
D
2022-05-04
2029-05-03
Common Stock
20349
0
D
On May 4, 2022, the issuer granted to the reporting person options to purchase shares of Common Stock with an aggregate value of $35,000 as compensation for service on its board of directors. On June 14, 2022, the issuer and the reporting person agreed to cancel these options in exchange for shares of Common Stock with an aggregate value of $35,000
The cancelled option vested 100% on the grant date.
/s/ Daniel R. Pabon as Attorney-in-Fact for Jeffrey R. Garwood
2022-06-15