X0306 4 2016-01-22 0 0001001463 Acacia Diversified Holdings, Inc. acca 0001385150 Sample Steven L 13575 58TH STREET NORTH - #138 CLEARWATER FL 33760 1 0 0 0 Common stock 2016-01-22 4 P 0 200 2 A 5517379 D Reporting Person acquired 200 shares of Issuer in open market purchases at a market price of $2.00 per share. Following these transactions, the Reporting Person owned 5,517,379 shares of Common stock of Issuer. With the exception of 2,500,000 of those shares, Reporting Person disclaims any beneficial ownership in securities held by others, and disclaims beneficial ownership of any other person in his securities. The referenced 2,500,000 shares are currently held in trust by another person who holds a Proxy from Reporting Person to vote those shares and has a Right of First Refusal to Purchase those Common shares between April 4 and May 4, 2019, but who does not currently have beneficial ownership in those shares. /s/ Steven L Sample 2016-01-25