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