0001445866-16-002701.txt : 20161005
0001445866-16-002701.hdr.sgml : 20161005
20161005144545
ACCESSION NUMBER: 0001445866-16-002701
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160926
FILED AS OF DATE: 20161005
DATE AS OF CHANGE: 20161005
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: 161922168
MAIL ADDRESS:
STREET 1: 3133 FRONTERA WAY
CITY: BURLINGAME
STATE: CA
ZIP: 94010
4
1
form4.xml
OWNERSHIP DOCUMENT
X0306
4
2016-09-26
0
0001360442
Cannabis Sativa, Inc.
CBDS
0001621792
Gravel Mike
3133 FRONTERA WAY
APT 305
BURLINGAME
CA
94010
1
1
0
0
CEO
Common Stock
2016-09-26
4
A
0
8286
A
164931
D
Common Stock
2016-09-26
4
A
0
5000
A
164931
D
Common Stock
2016-10-03
4
S
0
7222
3.01
D
162709
D
Common Stock
2016-10-03
4
S
0
10000
3.21
D
152709
D
Common Stock
2016-10-04
4
S
0
15000
3.5318
D
137709
D
Fully vested shares issued for services.
/s/ MIke Gravel
2016-10-04