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