0001445866-17-001566.txt : 20171109 0001445866-17-001566.hdr.sgml : 20171109 20171109135238 ACCESSION NUMBER: 0001445866-17-001566 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171107 FILED AS OF DATE: 20171109 DATE AS OF CHANGE: 20171109 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: 171190016 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 2017-11-07 0 0001360442 Cannabis Sativa, Inc. CBDS 0001705491 GOLDSBERRY DEBBY 1707 LEIMERT BLVD OAKLAND CA 94607 1 0 0 0 Common Stock 2017-11-07 4 S 0 6000 3.02 D 14000 D /s/ Debby Goldsberry 2017-11-08