SEC Form 4/A · accession 0001683168-17-002442
Medicine Man Technologies, Inc. · MDCL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Brett Roper
Officer — CEO · Director
Period of report
Sep 20, 2017
Accepted (ET)
Sep 21, 2017 · 8:28 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001622879
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Sep 20, 2017 | J | 30,000 | $1.0665 | A | 676,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Class B Warrant | $1.33 | Sep 20, 2017 | J | 30,000 | A | Sep 20, 2017 | May 20, 2019 | Class B Warrant | 30,000 | 30,000 | D |
Remarks
J - The shares and warrants were acquired directly from the Issuer as part of its private offering of securities onthe same terms and conditions offered to other investors.