0001209191-21-011033.txt : 20210216 0001209191-21-011033.hdr.sgml : 20210216 20210216200213 ACCESSION NUMBER: 0001209191-21-011033 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: Auerbach Michael CENTRAL INDEX KEY: 0001746080 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38594 FILM NUMBER: 21642050 MAIL ADDRESS: STREET 1: 158 HESTER STREET STREET 2: APT 7F CITY: NEW YORK STATE: NY ZIP: 10013 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 0001746080 Auerbach Michael 1100 MAUGHAN ROAD NANAIMO A1 V9X IJ2 BRITISH COLUMBIA, CANADA 1 0 0 0 Class 2 Common Stock 2020-07-31 4 J 0 330 D 278971 D Class 2 Common Stock 2021-01-25 4 J 0 116 D 278855 D Class 2 Common Stock 2020-07-31 4 J 0 1477 D 1008464 I By: Murphy Offutt LLC Class 2 Common Stock 2021-01-25 4 J 0 517 D 1007947 I By: Murphy Offutt LLC Class 2 Common Stock 2020-07-31 4 J 0 578 D 394448 I By: Murphy Offutt Common LLC Class 2 Common Stock 2021-01-25 4 J 0 202 D 394246 I By: Murphy Offutt Common LLC Class 2 Common Stock 17490 I By: M3 Daat LLC Class 2 Common Stock 42028 I By: M3 Ein Sof 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. Mr. Auerbach serves as General Partner of Murphy Ofutt, LLC, a multi-member limited liability company. Mr. Auerbach has sole voting and investment power with respect to the shares held by Murphy Ofutt, LLC. Mr. Auerbach serves as General Partner of Murphy Ofutt Common, LLC, a multi-member limited liability company. Mr. Auerbach has sole voting and investment power with respect to the shares held by Murphy Ofutt Common, LLC Mr. Auerbach is a member of M3 Daat, LLC and has sole voting and investment power with respect to the shares held by M3 Daat, LLC. Mr. Auerbach is a member of M3 Ein Sof LLC and has sole voting and investment power with respect to the shares held by M3 Ein Sof LLC. /s/ Julia Stark, Attorney-in-fact 2021-02-16