0001628280-23-041922.txt : 20231219
0001628280-23-041922.hdr.sgml : 20231219
20231219111521
ACCESSION NUMBER: 0001628280-23-041922
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231217
FILED AS OF DATE: 20231219
DATE AS OF CHANGE: 20231219
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Cacioppo James
CENTRAL INDEX KEY: 0001455939
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-56468
FILM NUMBER: 231496025
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]
ORGANIZATION NAME: 03 Life Sciences
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_1703002512.xml
FORM 4
X0508
4
2023-12-17
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
Stock Option (right to buy)
0.55
2023-12-17
4
A
0
3000000
0.55
A
2033-12-17
Subordinate Voting Shares
3000000
3000000
D
Warrant (right to buy)
0.80
2023-12-17
4
A
0
718750
0.80
A
2026-12-07
Subordinate Voting Shares
718750
718750
D
One-half of the Options will vest on January 1, 2024, and the second half will vest on January 1, 2025.
Vested.
/s/ James Cacioppo
2023-12-19