0001683168-21-003282.txt : 20210805 0001683168-21-003282.hdr.sgml : 20210805 20210805124535 ACCESSION NUMBER: 0001683168-21-003282 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210805 DATE AS OF CHANGE: 20210805 EFFECTIVENESS DATE: 20210805 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Medicine Man Technologies, Inc. CENTRAL INDEX KEY: 0001622879 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MANAGEMENT CONSULTING SERVICES [8742] IRS NUMBER: 465289499 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-408955 FILM NUMBER: 211147240 BUSINESS ADDRESS: STREET 1: 4880 HAVANA STREET STREET 2: SUITE 201 SOUTH CITY: DENVER STATE: CO ZIP: 80239 BUSINESS PHONE: 303-371-0387 MAIL ADDRESS: STREET 1: 4880 HAVANA STREET STREET 2: SUITE 201 SOUTH CITY: DENVER STATE: CO ZIP: 80239 D 1 primary_doc.xml X0708 D LIVE 0001622879 Medicine Man Technologies, Inc. 4880 HAVANA STREET SUITE 201 SOUTH DENVER CO COLORADO 80239 303-371-0387 NEVADA None None Corporation true Justin Dye 4880 HAVANA STREET SUITE 201 SOUTH DENVER CO COLORADO 80239 Executive Officer Director Nancy Huber 4880 HAVANA STREET SUITE 201 SOUTH DENVER CO COLORADO 80239 Executive Officer Dan Pabon 4880 HAVANA STREET SUITE 201 SOUTH DENVER CO COLORADO 80239 Executive Officer Nirup Krishnamurthy 4880 HAVANA STREET SUITE 201 SOUTH DENVER CO COLORADO 80239 Executive Officer Pratap Mukharji 4880 HAVANA STREET SUITE 201 SOUTH DENVER CO COLORADO 80239 Director Brian Ruden 4880 HAVANA STREET SUITE 201 SOUTH DENVER CO COLORADO 80239 Director Jeffrey Garwood 4880 HAVANA STREET SUITE 201 SOUTH DENVER CO COLORADO 80239 Director Salim Wahdan 4880 HAVANA STREET SUITE 201 SOUTH DENVER CO COLORADO 80239 Director Jeffrey Cozad 4880 HAVANA STREET SUITE 201 SOUTH DENVER CO COLORADO 80239 Director Other Decline to Disclose 06b false 2021-07-21 false true true 0 4842000 4842000 0 Issuer withheld approximately $0.1 million of amount sold as collateral for potential indemnification from forfeiture. false 2 0 0 0 false Medicine Man Technologies, Inc. /s/ Daniel R. Pabon Daniel R. Pabon Authorized Representative 2021-08-05