0001209191-21-059685.txt : 20211005 0001209191-21-059685.hdr.sgml : 20211005 20211005191151 ACCESSION NUMBER: 0001209191-21-059685 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210503 FILED AS OF DATE: 20211005 DATE AS OF CHANGE: 20211005 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SMITH CAMERON DOVI CENTRAL INDEX KEY: 0001828012 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-56199 FILM NUMBER: 211308261 MAIL ADDRESS: STREET 1: 10115 JEFFERSON BOULEVARD CITY: CULVER CITY STATE: CA ZIP: 90232 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MedMen Enterprises, Inc. CENTRAL INDEX KEY: 0001776932 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-RETAIL STORES, NEC [5990] IRS NUMBER: 981431779 STATE OF INCORPORATION: A1 FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 10115 JEFFERSON BOULEVARD CITY: CULVER CITY STATE: CA ZIP: 90232 BUSINESS PHONE: 4243302082 MAIL ADDRESS: STREET 1: 10115 JEFFERSON BOULEVARD CITY: CULVER CITY STATE: CA ZIP: 90232 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-05-03 0 0001776932 MedMen Enterprises, Inc. MMNFF 0001828012 SMITH CAMERON DOVI 10115 JEFFERSON BOULEVARD CULVER CITY CA 90232 1 0 0 0 Class B Subordinate Voting Shares 2021-05-03 4 A 0 55147 0.00 A 752221 D Class B Subordinate Voting Shares issued as part of Reporting Person's annual compensation for service as a director of Issuer. Includes shares reported on Form 4 filed on September 7, 2021. /s/ Cameron Dovi Smith 2021-10-05