0001628280-23-024049.txt : 20230630 0001628280-23-024049.hdr.sgml : 20230630 20230630162801 ACCESSION NUMBER: 0001628280-23-024049 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230627 FILED AS OF DATE: 20230630 DATE AS OF CHANGE: 20230630 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cacioppo James CENTRAL INDEX KEY: 0001455939 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-56468 FILM NUMBER: 231062127 MAIL ADDRESS: STREET 1: 551 MADISON AVENUE STREET 2: 10TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 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_1688156874.xml FORM 4 X0407 4 2023-06-27 0 0001909747 Jushi Holdings Inc. JUSH/JUSHF 0001455939 Cacioppo James C/O JUSHI HOLDINGS INC. 301 YAMATO ROAD, SUITE 3250 BOCA RATON FL 33431 1 1 1 0 Chief Executive Officer 0 Warrant (right to buy) 2.086 2023-06-27 4 D 0 719080 D 2022-12-08 2026-12-07 Subordinate Voting Shares 719080 31395000 I Serpentine Capital Management II, LLC Warrant (right to buy) 1 2023-06-27 4 A 0 719080 A 2022-12-08 2026-12-07 Subordinate Voting Shares 719080 32114080 I Serpentine Capital Management II, LLC The two transactions reported in Table II above involved the amendment of an outstanding warrant to reduce the exercise price from $2.086 a share to $1.00 a share. The amendment is reported above as the cancellation of the old warrant and the acquisition of a new one. /s/ Louis Jon Barack, attorney-in-fact 2023-06-30