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