0001872048-21-000003.txt : 20210712 0001872048-21-000003.hdr.sgml : 20210712 20210712143050 ACCESSION NUMBER: 0001872048-21-000003 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201217 FILED AS OF DATE: 20210712 DATE AS OF CHANGE: 20210712 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Joudeh Naser Ahmad CENTRAL INDEX KEY: 0001872048 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55450 FILM NUMBER: 211085310 MAIL ADDRESS: STREET 1: 16836 EAST WEAVER PLACE CITY: AURORA STATE: CO ZIP: 80016 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 primary_doc.xml PRIMARY DOCUMENT X0206 3 2020-12-17 0 0001622879 Medicine Man Technologies, Inc. SHWZ 0001872048 Joudeh Naser Ahmad 16836 EAST WEAVER PLACE AURORA CO 80016 0 0 0 1 Filer Series A Cumulative Convertible Preferred Stock 1.2 Common stock 1192500 D Series A Cumulative Convertible Preferred Stock 1.2 Common stock 645000 D Series A Cumulative Convertible Preferred Stock 1.2 Common stock 498333 I Spouse Series A Cumulative Convertible Preferred Stock 1.2 Common stock 198333 D Warrants (Right to Buy) 1.2 Common stock 268375 D Warrants (Right to Buy) 1.2 Common stock 145208 D Warrants (Right to Buy) 1.2 Common stock 111881 I Spouse Warrants (Right to Buy) 1.2 Common stock 44548 D 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. Subject to adjustment, as described in the Certificate of Designation. 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; and February 3, 2021. Naser Ahmad Joudeh 2021-06-21