0001445866-16-002310.txt : 20160630
0001445866-16-002310.hdr.sgml : 20160630
20160630191614
ACCESSION NUMBER: 0001445866-16-002310
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160622
FILED AS OF DATE: 20160630
DATE AS OF CHANGE: 20160630
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Cannabis Sativa, Inc.
CENTRAL INDEX KEY: 0001360442
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PERSONAL SERVICES [7200]
IRS NUMBER: 201898270
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1646 W. PIONEER BLVD.
STREET 2: SUITE 120
CITY: MESQUITE
STATE: NV
ZIP: 89027
BUSINESS PHONE: 702-346-3906
MAIL ADDRESS:
STREET 1: 1646 W. PIONEER BLVD.
STREET 2: SUITE 120
CITY: MESQUITE
STATE: NV
ZIP: 89027
FORMER COMPANY:
FORMER CONFORMED NAME: Ultra Sun Corp
DATE OF NAME CHANGE: 20060424
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gravel Mike
CENTRAL INDEX KEY: 0001621792
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-53571
FILM NUMBER: 161744356
MAIL ADDRESS:
STREET 1: 3133 FRONTERA WAY
CITY: BURLINGAME
STATE: CA
ZIP: 94010
4
1
form4.xml
OWNERSHIP DOCUMENT
X0306
4
2016-06-22
0
0001360442
Cannabis Sativa, Inc.
CBDS
0001621792
Gravel Mike
3133 FRONTERA WAY
APT 305
BURLINGAME
CA
94010
1
1
0
0
CEO
Common Stock
2016-06-22
4
A
0
100000.00
A
155000
D
Common Stock
2016-06-30
4
A
0
14423
A
169423
D
Common Stock
2016-06-30
4
A
0
10000
A
179423
D
100,000 shares issued for services. Of that amount, 25,000 vested on 6/30/16; 25,000 will vest on 9/30/16; 25,000 will vest on 12/31/16; 25,000 will vest on 3/31/17.
Fully vested shares issued for services.
5,000 vested on 3/31/2016 and 5,000 vested on 6/30/2016
/s/ MIke Gravel
2016-06-30