0001654954-21-011339.txt : 20211025
0001654954-21-011339.hdr.sgml : 20211025
20211025190739
ACCESSION NUMBER: 0001654954-21-011339
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211021
FILED AS OF DATE: 20211025
DATE AS OF CHANGE: 20211025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DAHL ANDREW A
CENTRAL INDEX KEY: 0001537603
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40449
FILM NUMBER: 211345344
MAIL ADDRESS:
STREET 1: 7 WEST SQUARE LAKE ROAD, STE 6165
CITY: BLOOMFIELD HILLS
STATE: MI
ZIP: 48302
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Zivo Bioscience, Inc.
CENTRAL INDEX KEY: 0001101026
STANDARD INDUSTRIAL CLASSIFICATION: FOOD & KINDRED PRODUCTS [2000]
IRS NUMBER: 870699977
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2804 ORCHARD LAKE ROAD, SUITE 202
CITY: KEEGO HARBOR
STATE: MI
ZIP: 48320
BUSINESS PHONE: (248) 452 9866
MAIL ADDRESS:
STREET 1: 2804 ORCHARD LAKE ROAD, SUITE 202
CITY: KEEGO HARBOR
STATE: MI
ZIP: 48320
FORMER COMPANY:
FORMER CONFORMED NAME: HEALTH ENHANCEMENT PRODUCTS INC
DATE OF NAME CHANGE: 20040202
FORMER COMPANY:
FORMER CONFORMED NAME: WESTERN GLORY HOLE INC
DATE OF NAME CHANGE: 19991215
4
1
section16.xml
PRIMARY DOCUMENT
X0306
4
2021-10-21
0001101026
Zivo Bioscience, Inc.
ZIVO
0001537603
DAHL ANDREW A
7 WEST SQUARE LAKE ROAD
SUITE 6165
BLOOMFIELD HILLS
MI
48302
true
true
false
President / CEO
Nonstatutory Stock Option to Purchase Common Stock
5.50
2021-10-21
4
A
false
376000
0
A
2031-10-20
Common Stock
376000
376000
D
The option was issued pursuant to the 2021 Equity Incentive Plan and vests as follows: 25% upon acceptance of the grant, and 25% on each of the next three calendar anniversaries of the grant.
/s/ Andrew A. Dahl
2021-10-25