0001628280-23-019056.txt : 20230519 0001628280-23-019056.hdr.sgml : 20230519 20230519162425 ACCESSION NUMBER: 0001628280-23-019056 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230517 FILED AS OF DATE: 20230519 DATE AS OF CHANGE: 20230519 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Upshaw Nichole Lee CENTRAL INDEX KEY: 0001957746 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-56468 FILM NUMBER: 23940481 MAIL ADDRESS: STREET 1: 301 YAMATO ROAD STREET 2: SUITE 3250 CITY: BOCA RATON STATE: FL ZIP: 33431 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Jushi Holdings Inc. CENTRAL INDEX KEY: 0001909747 STANDARD INDUSTRIAL CLASSIFICATION: MEDICINAL CHEMICALS & BOTANICAL PRODUCTS [2833] IRS NUMBER: 981547061 STATE OF INCORPORATION: A1 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 301 YAMATO ROAD STREET 2: SUITE 3250 CITY: BOCA RATON STATE: FL ZIP: 33431 BUSINESS PHONE: 5616179100 MAIL ADDRESS: STREET 1: 301 YAMATO ROAD STREET 2: SUITE 3250 CITY: BOCA RATON STATE: FL ZIP: 33431 4 1 wf-form4_168452784937819.xml FORM 4 X0407 4 2023-05-17 0 0001909747 Jushi Holdings Inc. JUSH/JUSHF 0001957746 Upshaw Nichole Lee 301 YAMATO ROAD SUITE 3250 BOCA RATON FL 33431 0 1 0 0 Chief People Officer 0 Stock Option (right to buy) 0.4827 2023-05-17 4 A 0 450000 0.4827 A 2024-05-01 2033-05-01 Subordinate Voting Shares 450000.0 1420000 D This Option will vest as to 33 1/3% of the total number of Shares subject to the Option on each yearly anniversary after the Vesting Commencement Date (5/1/2023), subject to continuous service. /s/ Louis Jon Barack, attorney-in-fact 2023-05-19