0001654954-23-004461.txt : 20230405
0001654954-23-004461.hdr.sgml : 20230405
20230405171044
ACCESSION NUMBER: 0001654954-23-004461
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230403
FILED AS OF DATE: 20230405
DATE AS OF CHANGE: 20230405
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: PAYNE JOHN BERNARD
CENTRAL INDEX KEY: 0001582392
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40449
FILM NUMBER: 23803423
MAIL ADDRESS:
STREET 1: 9900 NE 114TH CIRCLE
CITY: VANCOUVER
STATE: WA
ZIP: 98662
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Zivo Bioscience, Inc.
CENTRAL INDEX KEY: 0001101026
STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836]
IRS NUMBER: 870699977
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 21 E. LONG LAKE ROAD
STREET 2: SUITE 100
CITY: BLOOMFIELD HILLS
STATE: MI
ZIP: 48304
BUSINESS PHONE: (248) 452 9866
MAIL ADDRESS:
STREET 1: 21 E. LONG LAKE ROAD
STREET 2: SUITE 100
CITY: BLOOMFIELD HILLS
STATE: MI
ZIP: 48304
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
X0407
4
2023-04-03
0001101026
Zivo Bioscience, Inc.
ZIVO
0001582392
PAYNE JOHN BERNARD
9900 NE 114TH CIRCLE
VANCOUVER
WA
98662
true
true
false
false
President and CEO
false
Common Stock Purchase Warrant
2.91
2023-04-03
4
P
false
390000
A
2023-04-03
2026-04-02
Common Stock
390000
390000
D
The warrant was issued in connection with a private placement and purchase of a promissory note by Mr. Payne in the principal amount of $1,000,000.
/s/ John B. Payne
2023-04-05