0001209191-21-059702.txt : 20211005 0001209191-21-059702.hdr.sgml : 20211005 20211005192506 ACCESSION NUMBER: 0001209191-21-059702 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210829 FILED AS OF DATE: 20211005 DATE AS OF CHANGE: 20211005 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LANE MICHAEL JAY CENTRAL INDEX KEY: 0001828157 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-56199 FILM NUMBER: 211308325 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 2021-08-29 0 0001776932 MedMen Enterprises, Inc. MMNFF 0001828157 LANE MICHAEL JAY 10115 JEFFERSON BOULEVARD CULVER CITY CA 90232 0 1 0 0 CIO Class B Subordinate Voting Shares 2021-08-29 4 A 0 781809 0.00 A 2154816 D Employee Stock Options (right to buy) 0.2814 2021-08-29 4 A 0 196851 0.00 A 2021-08-29 2026-08-29 Class B Subordinate Voting Shares 196851 196851 D Issued pursuant to Issuer's 2018 Stock Incentive Plan. Represents restricted stock units ("RSUs"), which vest annually over four years beginning 6/30/2022, with 37.5% of shares vesting on 6/30/2022 and 6/30/2024, and 12.5% of shares vesting on 6/30/2023 and 6/30/2025. RSUs are equivalent to Issuer's Class B Subordinate Voting Shares and may be settled solely by delivery of an equal number of such shares of Issuer. Such options have an exercise price of CAN$0.355, which is US$0.2814 at an exchange rate of 1.2635. /s/ Michael Jay Lane 2021-10-05