0001445866-17-001445.txt : 20171017
0001445866-17-001445.hdr.sgml : 20171017
20171017162306
ACCESSION NUMBER: 0001445866-17-001445
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171006
FILED AS OF DATE: 20171017
DATE AS OF CHANGE: 20171017
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TOBIAS DAVID
CENTRAL INDEX KEY: 0001582097
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-53571
FILM NUMBER: 171140929
MAIL ADDRESS:
STREET 1: PO BOX 1602
CITY: MESQUITE
STATE: NV
ZIP: 89024
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
2017-10-06
0
0001360442
Cannabis Sativa, Inc.
CBDS
0001582097
TOBIAS DAVID
PO BOX 1602
MESQUITE
NV
89024
1
1
1
0
President
Common Stock
2017-10-06
4
A
0
5000
0
D
4244983
D
Common Stock
2017-10-06
4
A
0
21416
0
D
4266399
D
Fully vested shares issued for services through 09/30/17
Fully vested shares issued for services 1/01/17 to 9/30/17
/s/ David Tobias
2017-10-17