0001628280-23-039766.txt : 20231121 0001628280-23-039766.hdr.sgml : 20231121 20231121160225 ACCESSION NUMBER: 0001628280-23-039766 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231117 FILED AS OF DATE: 20231121 DATE AS OF CHANGE: 20231121 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Monroe Stephen CENTRAL INDEX KEY: 0001939766 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-56468 FILM NUMBER: 231427995 MAIL ADDRESS: STREET 1: 301 YAMATO ROAD, SUITE 3250 CITY: BOCA RATON STATE: FL ZIP: 33431 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Jushi Holdings Inc. CENTRAL INDEX KEY: 0001909747 STANDARD INDUSTRIAL CLASSIFICATION: MEDICINAL CHEMICALS & BOTANICAL PRODUCTS [2833] 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_1700600535.xml FORM 4 X0508 4 2023-11-17 0 0001909747 Jushi Holdings Inc. JUSH/JUSHF 0001939766 Monroe Stephen C/O JUSHI HOLDINGS INC. 301 YAMATO ROAD, SUITE 3250 BOCA RATON FL 33431 1 0 0 0 0 Stock Option (right to buy) 3.91 2023-11-17 4 D 0 60000 D 2031-10-27 Subordinate Voting Shares 60000 258952 D This Option provided for vesting as to 100% of the total number of Shares subject to the Option on 7/1/2022, subject to continuous service. On November 17, 2023, the issuer canceled, pursuant to the issuer's option regrant program, an option for 60,000 shares of the issuer's Subordinate Voting Shares granted to the reporting person. In exchange, the reporting person will receive a replacement option for 60,000 shares on or about December 17, 2023. /s/ Stephen Monroe 2023-11-21