0001683168-21-000845.txt : 20210309 0001683168-21-000845.hdr.sgml : 20210309 20210309173430 ACCESSION NUMBER: 0001683168-21-000845 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210226 FILED AS OF DATE: 20210309 DATE AS OF CHANGE: 20210309 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: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55450 FILM NUMBER: 21727083 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: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55450 FILM NUMBER: 21727082 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, LLC CENTRAL INDEX KEY: 0001850144 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55450 FILM NUMBER: 21727084 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 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 3 1 ownership.xml X0206 3 2021-02-26 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 Series A Cumulative Convertible Preferred Stock 1.20 Common Stock 19375000 I See footnote The shares of Series A Cumulative Convertible Preferred Stock (the "Series A Preferred Shares") are convertible into shares of the common stock (the "Common Shares") of Medicine Man Technologies, Inc. (the "Company") upon the events specified in the Company's Certificate of Designation of Series A Cumulative Convertible Preferred Stock (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 event requiring this report. 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. Subject to adjustment, as described in the Certificate of Designation. CRW Capital Cann Holdings, LLC (the "Holder") is the record holder of the reported shares. Marc R. Rubin is a manager of CRW Capital, LLC, which is the sole manager of the Holder. Each of Mr. Rubin and CRW Capital, LLC disclaims beneficial ownership of the reported shares except to the extent of his or its pecuniary interest therein. /s/ Marc R. Rubin, individually, and as Treasurer of each of CRW Capital Cann Holdings, LLC & CRW Capital, LLC 2021-03-09