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