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