X0306 4 2021-06-29 0000844856 Healthier Choices Management Corp. HCMC 0001512158 Holman Jeffrey Elliot 3341 N.E. 165TH STREET NORTH MIAMI BEACH FL 33160 true Chief Executive Officer Common Stock 2021-06-29 4 D 0 1512500000 0 D 9075000000 D Employee Stock Option 0.0001 2027-02-01 Common Stock 39000000000 39000000000 D Shares of common stock granted pursuant to a time-based restricted stock award (RSA). This restricted common stock shall vest in 1,512,500,000 increments on the last day of each of the next six calendar quarters commencing September 30, 2021, provided the Reporting Person has provided continuous service to the Issuer through the applicable vesting date. Reporting Person voluntarily forfeited 1,512,500,000 shares of Restricted Stock that were to vest on June 30, 2021. The forfeited restricted stock will be deemed authorized but unissued common stock and will be available for future issuance by the Company. The Issuer's officers and directors each voluntarily agreed to forfeit 14.28% of their unvested restricted common stock. These options are all fully vested. Pursuant to the terms of the option agreement between the holder and the Issuer, the option may not be exercised if the exercise would result in the holder beneficially owning (as determined in accordance with Section 13(d) of the Securities Exchange Act of 1934) in excess of 19.99% of all of the common stock of the Issuer outstanding at such time. Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. Explanation of Responses: ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S. C. 1001 and 15 U.S.C. 78ff(a) Note: File three copies of this Form, one of which must be manually signed, if space is insufficient, See Instruction 6 for procedure. Potential persons who are to respond to the collection of information contained in this form are not Required to respond unless the form displays a currently valid OMB Number. /s/ Jeffrey E. Holman 2021-06-29