0001683168-21-001692.txt : 20210430 0001683168-21-001692.hdr.sgml : 20210430 20210430213915 ACCESSION NUMBER: 0001683168-21-001692 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201001 FILED AS OF DATE: 20210430 DATE AS OF CHANGE: 20210430 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ruden Brian CENTRAL INDEX KEY: 0001798268 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55450 FILM NUMBER: 21880950 MAIL ADDRESS: STREET 1: C/O 4880 HAVANA STREET, SUITE 102 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] 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 4 1 ownership.xml X0306 4 2020-10-01 0 0001622879 Medicine Man Technologies, Inc. SHWZ 0001798268 Ruden Brian C/O MEDICINE MAN TECHNOLOGIES, INC. 4880 HAVANA STREET, SUITE 201 DENVER CO 80239 1 0 0 0 Common Stock 2020-10-01 4 A 0 42735 0 A 42735 D Series A Cumulative Convertible Preferred Stock 1.20 2020-12-17 4 A 0 1431 1000 A Common Stock 1192500 1431 D Series A Cumulative Convertible Preferred Stock 1.20 2020-12-18 4 A 0 1370 1000 A Common Stock 1141667 2801 D Series A Cumulative Convertible Preferred Stock 1.20 2021-02-03 4 A 0 604 1000 A Common Stock 503333 3405 D Series A Cumulative Convertible Preferred Stock 1.20 2021-03-02 4 A 0 5746 1000 A Common Stock 4788333 9151 D Warrant (Right to Buy) 1.20 2020-12-17 4 A 0 268375 A 2020-12-17 2025-12-17 Common Stock 268375 268375 D Warrant (Right to Buy) 1.20 2020-12-18 4 A 0 257036 A 2020-12-18 2025-12-18 Common Stock 257036 257036 D Warrant (Right to Buy) 1.20 2021-02-03 4 A 0 113211 A 2021-02-03 2026-02-03 Common Stock 113211 113211 D Warrant (Right to Buy) 1.20 2021-03-02 4 A 0 1077331 A 2021-03-02 2026-03-02 Common Stock 1077331 1077331 D The issuer granted the reporting person shares of common stock with an aggregate value of $50,000 for service on its board of directors. Subject to adjustment, as described in the Certificate of Designation. 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 Preferred stock is perpetual and therefore has no expiration date. Represents the number of Common Shares issuable upon conversion of the Series A Preferred Shares on the date of the reported transaction. Each Series A Preferred Share is 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. The reporting person received the warrants under Asset Purchase Agreements entered into by entities partly-owned by the reporting person upon the sale of assets by such entities to the issuer on the following dates, December 17, 2020; December 18, 2020; February 3, 2021; March 2, 2021. The consideration paid for the assets consisted of a mix of cash, deferred cash, shares of the issuer's Series A Cumulative Convertible Preferred Stock (the "Series A Shares") and warrants to purchase shares of the issuer's common stock /s/ Brian Ruden 2021-04-30