0001445866-18-000025.txt : 20180105 0001445866-18-000025.hdr.sgml : 20180105 20180105172812 ACCESSION NUMBER: 0001445866-18-000025 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171006 FILED AS OF DATE: 20180105 DATE AS OF CHANGE: 20180105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TOBIAS DAVID CENTRAL INDEX KEY: 0001582097 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-53571 FILM NUMBER: 18514312 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/A 1 form4.xml OWNERSHIP DOCUMENT X0306 4/A 2017-10-06 2017-10-17 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 A 4244983 D Common Stock 2017-10-06 4 A 0 21416 0 A 4266399 D Fully vested shares issued for services through 09/30/2017 Fully vested shares issued for services 01/01/2017 to 09/30/2017 /s/ David Tobias 2017-10-17