0001104659-23-098718.txt : 20230906
0001104659-23-098718.hdr.sgml : 20230906
20230906193409
ACCESSION NUMBER: 0001104659-23-098718
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230825
FILED AS OF DATE: 20230906
DATE AS OF CHANGE: 20230906
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: 231240682
MAIL ADDRESS:
STREET 1: C/O MEDICINE MAN TECHNOLOGIES, INC.
STREET 2: 4880 HAVANA ST., SUITE 201
CITY: DENVER
STATE: CO
ZIP: 80239
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: 231240684
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: 231240681
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: 231240685
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: 231240683
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
tm2325555-1_4seq1.xml
OWNERSHIP DOCUMENT
X0508
4
2023-08-25
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
0
0
1
0
0001292845
Cozad Jeffrey Alley
C/O MEDICINE MAN TECHNOLOGIES, INC.
4880 HAVANA ST., SUITE 201
DENVER
CO
80239
0
0
1
0
0001956430
CRW Capital Holdings II, LLC
4740 W. MOCKINGBIRD LANE
STE 195579
DALLAS
TX
75209
0
0
1
0
0
Series A Cumulative Convertible Preferred Stock
1.2
2023-08-25
4
P
0
500
1000
A
Common Stock
519804
31950
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 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 Cozad are the 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, as amended on April 7, 2015, as further amended on August 25, 2023 (the "Purchase Agreement") by and among the Holder and those certain sellers named therein (the "Sellers"), the Holder had a right to buy a total of 14,390 shares of Series A Preferred Shares, and exercised its right to purchase 4,000 shares of Series A Preferred Shares on November 30, 2022, exercised its right to purchase 2,100 shares of Series A Preferred Shares on April 7, 2023, and exercised its right to purchase 500 shares of Series A Preferred Shares on August 25, 2023. The Holder no longer has a right to buy the remaining 7,790 shares of Series A Preferred Shares, and now has a right of first refusal for such shares.
/s/ Marc R. Rubin, individually, as Treasurer of each of CRW Capital Holdings II, LLC, CRW Capital Cann Holdings, LLC & CRW Capital, LLC
2023-09-06