0001445866-16-003042.txt : 20161228
0001445866-16-003042.hdr.sgml : 20161228
20161228165314
ACCESSION NUMBER: 0001445866-16-003042
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161221
FILED AS OF DATE: 20161228
DATE AS OF CHANGE: 20161228
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: 162072966
MAIL ADDRESS:
STREET 1: 450 HILLSIDE DRIVE A224
CITY: MESQUITE
STATE: NV
ZIP: 89027
4
1
form4.xml
OWNERSHIP DOCUMENT
X0306
4
2016-12-21
0
0001360442
Cannabis Sativa, Inc.
CBDS
0001581976
Carroll Catherine J
450 HILLSIDE DRIVE A224
MESQUITE
NV
89027
1
1
0
0
CFO
Common Stock
2016-12-21
4
A
0
5000
0
A
224260
I
Footnote
Common Stock
2016-12-27
4
A
0
3830
0
A
228090
I
Footnote
Shares held by Carroll's Consulting LLC.
Fully vested shares issued for services.
Fully vested shares issued for services through 12/31/2016.
/s/ Cathy Carroll
2016-12-27