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