0001104659-24-002518.txt : 20240109 0001104659-24-002518.hdr.sgml : 20240109 20240109114025 ACCESSION NUMBER: 0001104659-24-002518 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230524 FILED AS OF DATE: 20240109 DATE AS OF CHANGE: 20240109 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Krishnamurthy Nirup CENTRAL INDEX KEY: 0001825865 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55450 FILM NUMBER: 24522339 MAIL ADDRESS: STREET 1: 4880 HAVANA STREET STREET 2: SUITE 201 CITY: DENVER STATE: CO ZIP: 80239 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Medicine Man Technologies, Inc. CENTRAL INDEX KEY: 0001622879 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MANAGEMENT CONSULTING SERVICES [8742] ORGANIZATION NAME: 07 Trade & Services IRS NUMBER: 465289499 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 865 N. ALBION ST. STREET 2: SUITE 300 CITY: DENVER STATE: CO ZIP: 80220 BUSINESS PHONE: 303-371-0387 MAIL ADDRESS: STREET 1: 865 N. ALBION ST. STREET 2: SUITE 300 CITY: DENVER STATE: CO ZIP: 80220 4 1 tm242104-10_4seq1.xml OWNERSHIP DOCUMENT X0508 4 2023-05-24 0 0001622879 Medicine Man Technologies, Inc. SHWZ 0001825865 Krishnamurthy Nirup C/O MEDICINE MAN TECHNOLOGIES, INC. 865 N. ALBION ST., STE 300 DENVER CO 80220 1 1 0 0 Chief Executive Officer 0 Common Stock 2023-05-24 4 A 0 1600000 0 A 1600000 D Employee Stock Option (Right to Buy) 1.035 2023-05-24 4 A 0 800000 0 A 2033-05-24 Common Stock 800000 2000000 D Issued as restricted stock units (RSUs) in connection with reporting persons retainer as director under the Company's 2017 Equity Incentive Plan and exempt from Section 16(b) by virtue of Rule 16(b)-b(d)(1) and (3). The RSU's are reportable, however, as directly owned shares of common stock, rather as a derivative security in Table II, because any and all underlying RSUs are payable, at such time as they are to be settled, solely in common stock. See Lincoln National Corp. (March 20, 1992) (Q.3). The options vest in four (4) equal annual installments on each anniversary of the grant date, beginning on May 24, 2023. The options vest in four (4) equal annual installments on each anniversary of the grant date, beginning on May 24, 2024. /s/ Daniel Pabon, as Attorney-in-Fact for Nirup Krishnamurthy 2024-01-08