0001628280-23-041920.txt : 20231219
0001628280-23-041920.hdr.sgml : 20231219
20231219111110
ACCESSION NUMBER: 0001628280-23-041920
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: Barack Louis Jon
CENTRAL INDEX KEY: 0001939867
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-56468
FILM NUMBER: 231495981
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]
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_1703002261.xml
FORM 4
X0508
4
2023-12-17
0
0001909747
Jushi Holdings Inc.
JUSH/JUSHF
0001939867
Barack Louis Jon
C/O JUSHI HOLDINGS INC.
301 YAMATO ROAD, SUITE 3250
BOCA RATON
FL
33431
0
1
0
0
President
0
Stock Option (right to buy)
0.55
2023-12-17
4
A
0
1000000
0.55
A
2033-12-17
Subordinate Voting Shares
1000000
1000000
D
1/3 of the Options will vest on 12/17/2024, 1/3 will vest on 12/17/2025, and 1/3 will vest on 12/17/2026, subject to continuous service.
Does not include options and warrants to purchase an aggregate of 3,893,000 Subordinated Voting Shares of different classes held directly by such reporting person. For future filings, the reporting person intends to report in column 9 of Table II only the shares beneficially held of the same class for any reported transaction pursuant to SEC guidance.
/s/ Louis Jon Barack
2023-12-19