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