0001445866-17-001071.txt : 20170728
0001445866-17-001071.hdr.sgml : 20170728
20170728132630
ACCESSION NUMBER: 0001445866-17-001071
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170630
FILED AS OF DATE: 20170728
DATE AS OF CHANGE: 20170728
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: 17989135
MAIL ADDRESS:
STREET 1: 4467 OCEAN HEIGHTS CT,
CITY: SEASIDE
STATE: CA
ZIP: 93955
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
0001621792
Gravel Mike
4467 OCEAN HEIGHTS CT,
SEASIDE
CA
93955
1
1
0
0
CEO
Common Stock
2017-06-30
4
A
0
5000
0
A
86408
D
Common Stock
2017-07-26
4
A
0
5000
0
A
91408
D
Fully vested shares issued for services through 3/31/17
Fully vested shares issued for services through 6/30/17
/s/ Mike Gravel
2017-07-27