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