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