0001628280-23-039750.txt : 20231121
0001628280-23-039750.hdr.sgml : 20231121
20231121153606
ACCESSION NUMBER: 0001628280-23-039750
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231117
FILED AS OF DATE: 20231121
DATE AS OF CHANGE: 20231121
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MOSIER MICHELLE O
CENTRAL INDEX KEY: 0001182453
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-56468
FILM NUMBER: 231427647
MAIL ADDRESS:
STREET 1: 207 WOOD ROAD
STREET 2: TREDEGAR CORP
CITY: 1100 BOULDERS PARKWAY
STATE: VA
ZIP: 23225
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
wk-form4_1700598956.xml
FORM 4
X0508
4
2023-11-17
0
0001909747
Jushi Holdings Inc.
JUSH/JUSHF
0001182453
MOSIER MICHELLE O
301 YAMATO ROAD, SUITE 3250
BOCA RATON
FL
33431
0
1
0
0
Chief Financial Officer
0
Warrant (right to buy)
1.75
2023-11-17
4
D
0
200000
D
2032-12-09
Subordinate Voting Shares
200000
200000
D
This Warrant provided for vesting as to 20% of the total number of Shares subject to the Warrant on each yearly anniversary after the Vesting Commencement Date (11/2/2022), subject to continuous service.
On November 17, 2023, the issuer canceled a Warrant for 200,000 shares of the issuer's Subordinate Voting Shares granted to the reporting person. In exchange, the reporting person will receive a replacement Warrant for 200,000 shares on or about December 17, 2023.
/s/ Michelle O. Mosier
2023-11-21