0001445866-18-001128.txt : 20181017 0001445866-18-001128.hdr.sgml : 20181017 20181017194840 ACCESSION NUMBER: 0001445866-18-001128 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181010 FILED AS OF DATE: 20181017 DATE AS OF CHANGE: 20181017 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Carroll Catherine J CENTRAL INDEX KEY: 0001581976 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-53571 FILM NUMBER: 181127370 MAIL ADDRESS: STREET 1: 450 HILLSIDE DRIVE A224 CITY: MESQUITE STATE: NV ZIP: 89027 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 2018-10-10 0 0001360442 Cannabis Sativa, Inc. CBDS 0001581976 Carroll Catherine J 450 HILLSIDE DRIVE A224 MESQUITE NV 89027 1 1 0 0 Treasurer Common Stock 2018-10-10 4 A 0 7110 A 265606 D Fully vested shares issued for services for the period ending 09/30/18 /s/ Cathy Carroll 2018-10-17