0001654954-21-011169.txt : 20211015 0001654954-21-011169.hdr.sgml : 20211015 20211015212005 ACCESSION NUMBER: 0001654954-21-011169 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211012 FILED AS OF DATE: 20211015 DATE AS OF CHANGE: 20211015 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PAYNE JOHN BERNARD CENTRAL INDEX KEY: 0001582392 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40449 FILM NUMBER: 211327171 MAIL ADDRESS: STREET 1: 9900 NE 114TH CIRCLE CITY: VANCOUVER STATE: WA ZIP: 98662 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Zivo Bioscience, Inc. CENTRAL INDEX KEY: 0001101026 STANDARD INDUSTRIAL CLASSIFICATION: FOOD & KINDRED PRODUCTS [2000] IRS NUMBER: 870699977 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2804 ORCHARD LAKE ROAD, SUITE 202 CITY: KEEGO HARBOR STATE: MI ZIP: 48320 BUSINESS PHONE: (248) 452 9866 MAIL ADDRESS: STREET 1: 2804 ORCHARD LAKE ROAD, SUITE 202 CITY: KEEGO HARBOR STATE: MI ZIP: 48320 FORMER COMPANY: FORMER CONFORMED NAME: HEALTH ENHANCEMENT PRODUCTS INC DATE OF NAME CHANGE: 20040202 FORMER COMPANY: FORMER CONFORMED NAME: WESTERN GLORY HOLE INC DATE OF NAME CHANGE: 19991215 4 1 section16.xml PRIMARY DOCUMENT X0306 4 2021-10-12 0001101026 Zivo Bioscience, Inc. ZIVO 0001582392 PAYNE JOHN BERNARD 9900 NE 114TH CIRCLE VANCOUVER WA 98662 true Nonstatutory Stock Option to Purchase Common Stock 4.48 2021-10-12 4 A false 11416 0 A 2031-10-11 Common Stock 11416 11416 D The option was issued pursuant to the 2021 Equity Incentive Plan and vests as follows: 25% on the first three 3-month anniversaries of the grant, and 25% on the day prior to the Company's 2022 Annual General Meeting of Stockholders, subject to the reporting person's continuous service on each applicable vesting date. /s/ John B. Payne 2021-10-15