Sec Form 4 Filing - Pabon Daniel @ Medicine Man Technologies, Inc. - 2019-12-05

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Pabon Daniel
2. Issuer Name and Ticker or Trading Symbol
Medicine Man Technologies, Inc. [ MDCL]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
General Counsel
(Last) (First) (Middle)
C/O MEDICINE MAN TECHNOLOGIES, INC., 4880 HAVANA STREET, SUITE 201
3. Date of Earliest Transaction (MM/DD/YY)
12/05/2019
(Street)
DENVER, CO80239
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option (Right to Buy) $ 2.85 12/05/2019 A 550,000 ( 1 ) 12/04/2029 Common Stock 550,000 $ 0 550,000 D
Employee Stock Option (Right to Buy) $ 1.52 03/27/2020 A 100,000 ( 2 ) 03/26/2030 Common Stock 100,000 $ 0 100,000 D
Employee Stock Option (Right to Buy) $ 1.26 12/15/2020 A 550,000 ( 3 ) 12/14/2030 Common Stock 550,000 ( 4 ) 550,000 D
Employee Stock Option (Right to Buy) $ 2.85 12/15/2020 D 550,000 ( 1 ) 12/04/2029 Common Stock 550,000 ( 4 ) 0 D
Employee Stock Option (Right to Buy) $ 1.26 12/15/2020 A 100,000 ( 5 ) 12/14/2030 Common Stock 100,000 ( 4 ) 100,000 D
Employee Stock Option (Right to Buy) $ 1.52 12/15/2020 D 100,000 ( 2 ) 03/26/2030 Common Stock 100,000 ( 4 ) 0 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Pabon Daniel
C/O MEDICINE MAN TECHNOLOGIES, INC.
4880 HAVANA STREET, SUITE 201
DENVER, CO80239
General Counsel
Signatures
/s/ Daniel R. Pabon 04/30/2021
Signature of Reporting Person Date
Explanation of Responses:
( 1 )The options vest in four (4) equal annual installments on each anniversary of the grant date, beginning on December 5, 2020.
( 2 )The options vest in four (4) equal annual installments on each anniversary of the grant date, beginning on March 27, 2021.
( 3 )25% of the option vested immediately upon grant on December 15, 2020. The remainder of the stock option vests in three (3) equal annual installments beginning on December 5, 2021 and the following two (2) anniversaries.
( 4 )The reporting person agreed to cancellation of (i) an option to purchase 550,000 shares of common stock granted to him on December 5, 2019, and (ii) an option to purchase 100,000 shares of common stock granted to him on March 27, 2020, in each case, for a new option having a lower exercise price.
( 5 )The options vest in four (4) equal annual installments beginning on March 27, 2021 and the following three (3) anniversaries.

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
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