0001213900-21-036432.txt : 20210712 0001213900-21-036432.hdr.sgml : 20210712 20210712082031 ACCESSION NUMBER: 0001213900-21-036432 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210709 FILED AS OF DATE: 20210712 DATE AS OF CHANGE: 20210712 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RAY RUSSELL T CENTRAL INDEX KEY: 0001225960 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38105 FILM NUMBER: 211084350 MAIL ADDRESS: STREET 1: 2525 DUPONT DR CITY: IRVINE STATE: CA ZIP: 92612 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: 180 Life Sciences Corp. CENTRAL INDEX KEY: 0001690080 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 813832378 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 830 MENLO AVENUE, SUITE 100 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-507-0669 MAIL ADDRESS: STREET 1: 830 MENLO AVENUE, SUITE 100 CITY: MENLO PARK STATE: CA ZIP: 94025 FORMER COMPANY: FORMER CONFORMED NAME: KBL MERGER CORP. IV DATE OF NAME CHANGE: 20161115 3 1 ownership.xml OWNERSHIP DOCUMENT X0206 3 2021-07-09 0 0001690080 180 Life Sciences Corp. ATNF 0001225960 RAY RUSSELL T 3000 EL CAMINO REAL BLDG. 4, SUITE 200 PALO ALTO CA 94306 1 0 0 0 Common Stock 0 D Effective on July 9, 2021, the Reporting Person was appointed as a Director of the Issuer. /s/ Russell T. Ray 2021-07-12