Jeffrey A. Cozad - Dec 7, 2021 Form 4 Insider Report for Medicine Man Technologies, Inc. (SHWZ)

Role
Director, 10%+ Owner
Signature
/s/ Daniel R. Pabon, attorney-in-fact for Jeffrey A. Cozad
Stock symbol
SHWZ
Transactions as of
Dec 7, 2021
Transactions value $
$62,500,000,000
Form type
4
Date filed
12/9/2021, 08:02 PM
Next filing
May 6, 2022

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction SHWZ 13% Senior Convertible Note Due 2026 Award $62.5B +250K $250,000.00* 250K Dec 7, 2021 Common Stock 112K $2.24 See Footnote F1, F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 On December 7, 2021, the Issuer completed an offering of its 13% Senior Secured Convertible Notes due December 7, 2026 (the "Notes"). The Notes are convertible at any time at the option of the holder into shares of the Issuer's common stock. The foregoing description of the Notes does not purport to be complete and is subject to and qualified in its entirety by reference to the Form of Convertible Note included as Exhibit 4.2 and the indenture included as Exhibit 4.1 in the Issuer's Current Report on Form 8-K filed on December 9, 2021, which is incorporated by reference.
F2 Cozad Investments, L.P. (the "Holder") is the record holder of the reported shares. Mr. Cozad is the General Partner the Holder. Mr. Cozad disclaims beneficial ownership of the reported shares except to the extent of his pecuniary interest therein.

Remarks:

Exhibit 24 - Power of Attorney