0001445866-17-001453.txt : 20171017
0001445866-17-001453.hdr.sgml : 20171017
20171017162833
ACCESSION NUMBER: 0001445866-17-001453
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: GOLDSBERRY DEBBY
CENTRAL INDEX KEY: 0001705491
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-53571
FILM NUMBER: 171140957
MAIL ADDRESS:
STREET 1: 1707 LEIMERT BLVD
CITY: OAKLAND
STATE: CA
ZIP: 94607
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
0001705491
GOLDSBERRY DEBBY
1707 LEIMERT BLVD
OAKLAND
CA
94607
1
0
0
0
Common Stock
2017-10-06
4
A
0
5000
0
A
22650
D
Common Stock
2017-10-13
4
S
0
1150
2.73
D
21500
D
Fully vested shares issued for services through 09/30/17
/s/ Debby Goldsberry
2017-10-17