Sec Form 3 Filing - LANE MICHAEL JAY @ MedMen Enterprises, Inc. - 2020-10-23

Insider filing report for Changes in Beneficial Ownership
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FORM 3
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
LANE MICHAEL JAY
2. Issuer Name and Ticker or Trading Symbol
MedMen Enterprises, Inc. [ MMNFF]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
CIO
(Last) (First) (Middle)
10115 JEFFERSON BOULEVARD
3. Date of Earliest Transaction (MM/DD/YY)
10/23/2020
(Street)
CULVER CITY, CA90232
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
Class B Subordinate Voting Shares 30,390 D
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 Options (right to buy) ( 1 ) $ 5.25 ( 3 ) 04/11/2019( 2 ) 05/29/2028 Class B Subordinate Voting Shares 96,620 D
Employee Stock Options (right to buy) ( 4 ) $ 2.66 ( 3 ) ( 5 ) 07/31/2029 Class B Subordinate Voting Shares 543,471 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
LANE MICHAEL JAY
10115 JEFFERSON BOULEVARD
CULVER CITY, CA90232
CIO
Signatures
/s/ Michael Jay Lane 10/23/2020
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Employee stock options (right to buy) ("Options") granted May 29, 2018, pursuant to Issuer's 2018 Stock and Incentive Plan (the "Incentive Plan").
( 2 )Options vest over four years with 25% vesting on April 11, 2019. The balance vest equally on a monthly basis thereafter.
( 3 )Exercise price of Options is in Canadian dollars ("CAN$").
( 4 )Options granted July 31, 2019, pursuant to Issuer's Incentive Plan.
( 5 )One-third of Options vest when Issuer's stock trades at CAN$15, one-third of Options vest when Issuer's stock trades at CAN$30, and the remaining one-third of Options vest when Issuer's stock trades at CAN$60.

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).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

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