0001128732-17-000022.txt : 20170717
0001128732-17-000022.hdr.sgml : 20170717
20170717091345
ACCESSION NUMBER: 0001128732-17-000022
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170607
FILED AS OF DATE: 20170717
DATE AS OF CHANGE: 20170717
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Dickman Paul
CENTRAL INDEX KEY: 0001655201
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-55450
FILM NUMBER: 17966758
MAIL ADDRESS:
STREET 1: 4115 SCARLET OAK COURT
CITY: CASTLE ROCK
STATE: CO
ZIP: 80109
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 102 SOUTH
CITY: DENVER
STATE: CO
ZIP: 80239
BUSINESS PHONE: 303-371-0387
MAIL ADDRESS:
STREET 1: 4880 HAVANA STREET
STREET 2: SUITE 102 SOUTH
CITY: DENVER
STATE: CO
ZIP: 80239
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2017-06-07
0
0001622879
Medicine Man Technologies, Inc.
MDCL
0001655201
Dickman Paul
4115 SCARLET OAK COURT
CASTLE ROCK
CO
80109
1
0
0
0
Common Stock
2017-06-07
4
A
0
125000
0.93
A
205000
D
Common Stock Warrants
1.445
2017-06-07
4
A
0
250000
0
A
2017-06-07
2019-12-31
Common Stock
250000
250000
D
Reporting Person received shares of restricted Common Stock pursuant to the terms of the Issuer's 2017 Equity Incentive Plan.
Paul Dickman
2017-07-17