0001445866-17-001301.txt : 20170907
0001445866-17-001301.hdr.sgml : 20170907
20170907160410
ACCESSION NUMBER: 0001445866-17-001301
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170906
FILED AS OF DATE: 20170907
DATE AS OF CHANGE: 20170907
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GOLDSBERRY DEBBY
CENTRAL INDEX KEY: 0001705491
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-53571
FILM NUMBER: 171073944
MAIL ADDRESS:
STREET 1: 1707 LEIMERT BLVD
CITY: OAKLAND
STATE: CA
ZIP: 94602
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
2017-09-06
0
0001360442
Cannabis Sativa, Inc.
CBDS
0001705491
GOLDSBERRY DEBBY
3322 RUBIN DR
OAKLAND
CA
94602
1
0
0
0
Common Stock
2017-09-06
4
S
0
1600
3.25
D
19850
D
/s/ Debby Goldsberry
2017-09-07