0001209191-21-011024.txt : 20210216 0001209191-21-011024.hdr.sgml : 20210216 20210216195547 ACCESSION NUMBER: 0001209191-21-011024 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200731 FILED AS OF DATE: 20210216 DATE AS OF CHANGE: 20210216 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kennedy Brendan CENTRAL INDEX KEY: 0001746070 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38594 FILM NUMBER: 21642039 MAIL ADDRESS: STREET 1: 1920 EASTLAKE AVENUE E. CITY: SEATTLE STATE: WA ZIP: 98105 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Tilray, Inc. CENTRAL INDEX KEY: 0001731348 STANDARD INDUSTRIAL CLASSIFICATION: MEDICINAL CHEMICALS & BOTANICAL PRODUCTS [2833] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1100 MAUGHAN ROAD CITY: NANAIMO STATE: A1 ZIP: V9X 1J2 BUSINESS PHONE: 2064329325 MAIL ADDRESS: STREET 1: 1100 MAUGHAN ROAD CITY: NANAIMO STATE: A1 ZIP: V9X 1J2 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2020-07-31 0 0001731348 Tilray, Inc. TLRY 0001746070 Kennedy Brendan 2701 EASTLAKE AVE E 3RD FLOOR SEATTLE WA 98102 1 1 0 0 President and CEO Class 2 Common Stock 2020-07-31 4 J 0 9620 D 9870346 D Class 2 Common Stock 2021-01-25 4 J 0 3371 D 9866975 D Class 2 Common Stock 2020-07-31 4 J 0 163 D 234997 I By Skyline & Mayfair LLC Class 2 Common Stock 2021-01-25 4 J 0 57 D 234940 I By Skyline & Mayfair LLC Forfeiture of shares pursuant to the terms of the Escrow Agreement entered into on December 12, 2019 by the Issuer and certain other parties, in connection with merger of Privateer Holdings, Inc. into the Issuer. The shares represent the Reporting Person's pro rata portion forfeited in satisfaction of indemnity claims. The Reporting Person is the sole member of Skyline & Mayfair LLC and has sole voting and investment power with respect to the shares held by Skyline & Mayfair LLC. /s/ Julia Stark, Attorney-in-fact 2021-02-16