0001628280-23-041910.txt : 20231219
0001628280-23-041910.hdr.sgml : 20231219
20231219105458
ACCESSION NUMBER: 0001628280-23-041910
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231217
FILED AS OF DATE: 20231219
DATE AS OF CHANGE: 20231219
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Wafford Bill
CENTRAL INDEX KEY: 0001724667
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-56468
FILM NUMBER: 231495913
MAIL ADDRESS:
STREET 1: 300 HARMON MEADOW BOULEVARD
CITY: SECAUCUS
STATE: NJ
ZIP: 07094
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Jushi Holdings Inc.
CENTRAL INDEX KEY: 0001909747
STANDARD INDUSTRIAL CLASSIFICATION: MEDICINAL CHEMICALS & BOTANICAL PRODUCTS [2833]
ORGANIZATION NAME: 03 Life Sciences
IRS NUMBER: 981547061
STATE OF INCORPORATION: A1
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 301 YAMATO ROAD
STREET 2: SUITE 3250
CITY: BOCA RATON
STATE: FL
ZIP: 33431
BUSINESS PHONE: 5616179100
MAIL ADDRESS:
STREET 1: 301 YAMATO ROAD
STREET 2: SUITE 3250
CITY: BOCA RATON
STATE: FL
ZIP: 33431
4
1
wk-form4_1703001287.xml
FORM 4
X0508
4
2023-12-17
0
0001909747
Jushi Holdings Inc.
JUSH/JUSHF
0001724667
Wafford Bill
301 YAMATO ROAD
SUITE 3250
BOCA RATON
FL
33431
1
0
0
0
0
Stock Option (right to buy)
0.55
2023-12-17
4
A
0
101429
0.55
A
2033-12-17
Subordinate Voting Shares
101429
101429
D
This Option provides for vesting as to 100% of the total number of Shares subject to the Option on 12/17/2024, subject to continuous service.
/s/ Billy Wafford
2023-12-19