Sec Form 4 Filing - BOSSIDY TIMOTHY @ MedMen Enterprises, Inc. - 2021-02-14

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
BOSSIDY TIMOTHY
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)
Interim COO
(Last) (First) (Middle)
10115 JEFFERSON BOULEVARD
3. Date of Earliest Transaction (MM/DD/YY)
02/14/2021
(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 ( 1 ) 02/14/2021 A 1,258,322 ( 2 ) A $ 0 1,258,322 D
Class B Subordinate Voting Shares ( 1 ) 08/29/2021 A 850,036 ( 3 ) A $ 0 2,108,358 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 ) $ 0.2814 ( 4 ) 08/29/2021 A 214,030 08/29/2021 08/29/2026 Class B Subordinate Voting Shares 214,030 $ 0 214,030 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
BOSSIDY TIMOTHY
10115 JEFFERSON BOULEVARD
CULVER CITY, CA90232
Interim COO
Signatures
/s/ Timothy Bossidy 10/05/2021
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Issued pursuant to Issuer's 2018 Stock Incentive Plan.
( 2 )Represents restricted stock units ("RSUs"), which vest annually over four years beginning 6/30/2021, with 37.5% vesting on 6/30/2021 and 6/30/2023, and 12.5% of shares vesting on 6/30/2022 and 6/30/2024. RSUs are equivalent to Issuer's Class B Subordinate Voting Shares and may be settled solely by delivery of an equal number of such shares of Issuer.
( 3 )Represents RSUs, which vest annually over four years beginning 6/30/2022, with 37.5% vesting on 6/30/2022 and 6/30/2024, and 12.5% of shares vesting on 6/30/2023 and 6/30/2025. RSUs are equivalent to Issuer's Class B Subordinate Voting Shares and may be settled solely by delivery of an equal number of such shares of Issuer.
( 4 )Such options have an exercise price of CAN$0.355, which is equivalent to US$0.2814 at an exchange rate of 1.2635.

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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