0001104659-22-124267.txt : 20221202
0001104659-22-124267.hdr.sgml : 20221202
20221202195949
ACCESSION NUMBER: 0001104659-22-124267
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20221130
FILED AS OF DATE: 20221202
DATE AS OF CHANGE: 20221202
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Cozad Jeffrey Alley
CENTRAL INDEX KEY: 0001292845
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-55450
FILM NUMBER: 221443467
MAIL ADDRESS:
STREET 1: 909 MONTGOMERY STREET, SUITE 400
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94133
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CRW Capital Cann Holdings, LLC
CENTRAL INDEX KEY: 0001849908
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-55450
FILM NUMBER: 221443470
BUSINESS ADDRESS:
STREET 1: 4740 W. MOCKINGBIRD LANE
STREET 2: P.O. BOX 195579
CITY: DALLAS
STATE: TX
ZIP: 75209
BUSINESS PHONE: (617) 356-7415
MAIL ADDRESS:
STREET 1: 4740 W. MOCKINGBIRD LANE
STREET 2: P.O. BOX 195579
CITY: DALLAS
STATE: TX
ZIP: 75209
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CRW Capital Holdings II, LLC
CENTRAL INDEX KEY: 0001956430
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-55450
FILM NUMBER: 221443468
BUSINESS ADDRESS:
STREET 1: 4740 W. MOCKINGBIRD LANE
STREET 2: STE 195579
CITY: DALLAS
STATE: TX
ZIP: 75209
BUSINESS PHONE: (617) 356-7415
MAIL ADDRESS:
STREET 1: 4740 W. MOCKINGBIRD LANE
STREET 2: STE 195579
CITY: DALLAS
STATE: TX
ZIP: 75209
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CRW Capital, LLC
CENTRAL INDEX KEY: 0001850144
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-55450
FILM NUMBER: 221443471
BUSINESS ADDRESS:
STREET 1: 4740 W. MOCKINGBIRD LANE
STREET 2: P.O. BOX 195579
CITY: DALLAS
STATE: TX
ZIP: 75209
BUSINESS PHONE: (617) 356-7415
MAIL ADDRESS:
STREET 1: 4740 W. MOCKINGBIRD LANE
STREET 2: P.O. BOX 195579
CITY: DALLAS
STATE: TX
ZIP: 75209
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Rubin Marc R
CENTRAL INDEX KEY: 0001850191
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-55450
FILM NUMBER: 221443469
MAIL ADDRESS:
STREET 1: 4740 W. MOCKINGBIRD LANE
STREET 2: P.O. BOX 195579
CITY: DALLAS
STATE: TX
ZIP: 75209
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
tm2231864-5_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2022-11-30
0
0001622879
Medicine Man Technologies, Inc.
SHWZ
0001850144
CRW Capital, LLC
4740 W. MOCKINGBIRD LANE
P.O. BOX 195579
DALLAS
TX
75209
0
0
1
0
0001849908
CRW Capital Cann Holdings, LLC
4740 W. MOCKINGBIRD LANE
P.O. BOX 195579
DALLAS
TX
75209
0
0
1
0
0001850191
Rubin Marc R
4740 W. MOCKINGBIRD LANE
P.O. BOX 195579
DALLAS
TX
75209
1
0
1
0
0001956430
CRW Capital Holdings II, LLC
4740 W. MOCKINGBIRD LANE
P.O. BOX 195579
DALLAS
TX
75209
0
0
1
0
0001292845
Cozad Jeffrey Alley
4740 W. MOCKINGBIRD LANE
P.O. BOX 195579
DALLAS
TX
75209
1
0
1
0
Series A Cumulative Convertible Preferred Stock
1.2
2022-11-30
4
P
0
4000
1000
A
Common Stock
3879200
29350
I
See footnotes
Right to Buy Series A Cumulative Convertible Preferred Stock
1.2
2022-11-30
4
P
0
10390
1000
A
Common Stock
10076222
39740
I
See footnotes
Subject to adjustment, as described in the Certificate of Designation of Series A Cumulative Convertible Preferred Stock (the "Certificate of Designation") of Medicine Man Technologies, Inc. (the "Company").
The shares of Series A Cumulative Convertible Preferred Stock (the "Series A Preferred Shares") are convertible into shares of the Company's common stock (the "Common Shares") upon the events specified in the Certificate of Designation. The Series A Preferred Shares have no expiration date.
Represents the number of Common Shares issuable upon conversion of the Series A Preferred Shares on the date of the reported transaction. Each Series A Preferred Share shall be convertible into that number of Common Shares equal to the preference amount (initially $1,000) plus any accrued dividends with respect to such share, divided by the conversion price (initially $1.20), subject to adjustment as set forth in the Certificate of Designation. The Series A Preferred Shares earn a cumulative dividend of 8% per annum.
CRW Capital Holdings II, LLC (the "Holder") is the record holder of the reported shares. Marc R. Rubin and Jeffrey Alley Cozad are managers of CRW Capital, LLC, which is the sole manager of the Holder. Each of Mr. Rubin, Mr. Cozad and CRW Capital, LLC disclaims beneficial ownership of the reported shares except to the extent of his or its pecuniary interest therein.
Pursuant to that certain Preferred Stock Secondary Purchase Agreement dated as of November 23, 2022 (the "Purchase Agreement") by and among CRW Capital Holdings II, LLC ("Holdings") and those certain sellers named therein (the "Sellers"), Holdings agreed to purchase these certain shares of Series A Cumulative Convertible Preferred Stock (the "Series A Preferred Shares") at an Initial Closing occurring as of November 30, 2022 (the "Initial Closing").
Pursuant to the Purchase Agreement, Holdings acquired the right to purchase such Series A Preferred Shares for a period of up to one hundred and eighty (180) days after the date of the Initial Closing.
The Holder is the holder of the right to buy the reported shares. Marc R. Rubin and Jeffrey Alley Cozad are managers of CRW Capital, LLC, which is the sole manager of the Holder. Each of Mr. Rubin, Mr. Cozad and CRW Capital, LLC disclaims beneficial ownership of the reported shares except to the extent of his or its pecuniary interest therein.
/s/ Marc R. Rubin, individually, as Treasurer of each of CRW Capital Holdings II, LLC, CRW Capital Cann Holdings, LLC & CRW Capital, LLC
2022-12-02