0001209191-22-025810.txt : 20220427 0001209191-22-025810.hdr.sgml : 20220427 20220427170900 ACCESSION NUMBER: 0001209191-22-025810 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220426 FILED AS OF DATE: 20220427 DATE AS OF CHANGE: 20220427 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Karlin Dan CENTRAL INDEX KEY: 0001897618 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40360 FILM NUMBER: 22860859 MAIL ADDRESS: STREET 1: C/O MIND MEDICINE INC. STREET 2: ONE WORLD TRADE CENTER, SUITE 8500 CITY: NEW YORK STATE: NY ZIP: 10007 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Mind Medicine (MindMed) Inc. CENTRAL INDEX KEY: 0001813814 STANDARD INDUSTRIAL CLASSIFICATION: MEDICINAL CHEMICALS & BOTANICAL PRODUCTS [2833] IRS NUMBER: 000000000 STATE OF INCORPORATION: A1 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1166 ALBERNI STEET STREET 2: SUITE 1604 CITY: VANCOUVER STATE: A1 ZIP: V6E 3Z3 BUSINESS PHONE: (212) 220-6633 MAIL ADDRESS: STREET 1: 1166 ALBERNI STEET STREET 2: SUITE 1604 CITY: VANCOUVER STATE: A1 ZIP: V6E 3Z3 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2022-04-26 0 0001813814 Mind Medicine (MindMed) Inc. MNMD 0001897618 Karlin Dan C/O MIND MEDICINE (MINDMED), INC. ONE WORLD TRADE CENTER, SUITE 8500 NEW YORK NY 10007 0 1 0 0 Chief Medical Officer Subordinate Voting Shares 2022-04-26 4 F 0 13038 0.81 D 4095516 D The transaction reported represents the withholding of shares by the Issuer to satisfy the Reporting Person's tax withholding obligations in connection with the non-reportable vesting and settlement of 23,541 restricted stock units. The closing price of our Subordinate Voting Shares as of April 26, 2022 on the NEO was $1.04 Canadian Dollars. This represents the price in United States Dollars. /s/ Robert Barrow, Attorney-in-Fact 2022-04-27