0001445866-17-001811.txt : 20171220
0001445866-17-001811.hdr.sgml : 20171220
20171220183145
ACCESSION NUMBER: 0001445866-17-001811
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171117
FILED AS OF DATE: 20171220
DATE AS OF CHANGE: 20171220
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lundbom Donald
CENTRAL INDEX KEY: 0001711874
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-53571
FILM NUMBER: 171267714
MAIL ADDRESS:
STREET 1: 37177 N WILD BARLEY PATH
CITY: SAN TAN VALLEY
STATE: AZ
ZIP: 85140
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
2017-11-17
0
0001360442
Cannabis Sativa, Inc.
CBDS
0001711874
Lundbom Donald
37177 N WILD BARLEY PATH
SAN TAN VALLEY
AZ
85140
0
1
0
0
CHIEF FINANCIAL OFFICER
Common Stock
2017-12-18
4
S
0
1758
5
D
20000
D
Common Stock
2017-12-19
4
S
0
550
5.07
D
19450
D
Common Stock
2017-12-19
4
S
0
100
5.06
D
19350
D
Common Stock
2017-12-19
4
S
0
1350
5.05
D
18000
D
/s/ Donald J Lundbom
2017-12-20