0001445866-16-002720.txt : 20161007
0001445866-16-002720.hdr.sgml : 20161007
20161007113133
ACCESSION NUMBER: 0001445866-16-002720
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160926
FILED AS OF DATE: 20161007
DATE AS OF CHANGE: 20161007
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: Carroll Catherine J
CENTRAL INDEX KEY: 0001581976
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-53571
FILM NUMBER: 161926551
MAIL ADDRESS:
STREET 1: 450 HILLSIDE DRIVE A224
CITY: MESQUITE
STATE: NV
ZIP: 89027
4
1
form4.xml
OWNERSHIP DOCUMENT
X0306
4
2016-09-26
0
0001360442
Cannabis Sativa, Inc.
CBDS
0001581976
Carroll Catherine J
450 HILLSIDE DRIVE A224
MESQUITE
NV
89027
1
1
0
0
CFO
Common Stock
2016-09-26
4
A
0
6629
A
214260
D
Common Stock
2016-09-26
4
A
0
5000
A
219260
D
Fully vested shares issued for services.
/s/ Cathy Carroll
2016-10-04