0001445866-17-001044.txt : 20170725
0001445866-17-001044.hdr.sgml : 20170725
20170725104827
ACCESSION NUMBER: 0001445866-17-001044
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170630
FILED AS OF DATE: 20170725
DATE AS OF CHANGE: 20170725
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lundbom Donald
CENTRAL INDEX KEY: 0001711874
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-53571
FILM NUMBER: 17979582
MAIL ADDRESS:
STREET 1: 37177 N WILD BARLEY PATH
CITY: SAN TAN VALLEY
STATE: AZ
ZIP: 85140
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
4
1
form4.xml
OWNERSHIP DOCUMENT
X0306
4
2017-06-30
0
0001360442
Cannabis Sativa, Inc.
CBDS
0001711874
Lundbom Donald
37177 N WILD BARLEY PATH
SAN TAN VALLEY
AZ
85140
0
1
0
0
CHIEF FINANCIAL OFFICER
Common Stock
2017-06-30
4
A
0
20000
A
20000
D
Common Stock
2017-06-30
4
A
0
6425
A
26425
D
STOCK ISSUED AS SIGNING BONUS,
STOCK ISSUED FOR SERVICES RENDERED FOR THE MONTH OF JUNE 2017
/s/ Londbom Donald J
2017-07-24