0001213900-21-064763.txt : 20211210
0001213900-21-064763.hdr.sgml : 20211210
20211210180431
ACCESSION NUMBER: 0001213900-21-064763
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211210
FILED AS OF DATE: 20211210
DATE AS OF CHANGE: 20211210
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Vu Quan Anh
CENTRAL INDEX KEY: 0001892297
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38105
FILM NUMBER: 211486479
MAIL ADDRESS:
STREET 1: 22616 ERWIN STREET
CITY: WOODLAND HILLS
STATE: CA
ZIP: 91367
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: 180 Life Sciences Corp.
CENTRAL INDEX KEY: 0001690080
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 813832378
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 830 MENLO AVENUE, SUITE 100
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650-507-0669
MAIL ADDRESS:
STREET 1: 830 MENLO AVENUE, SUITE 100
CITY: MENLO PARK
STATE: CA
ZIP: 94025
FORMER COMPANY:
FORMER CONFORMED NAME: KBL MERGER CORP. IV
DATE OF NAME CHANGE: 20161115
4
1
ownership.xml
X0306
4
2021-12-10
0
0001690080
180 Life Sciences Corp.
ATNF
0001892297
Vu Quan Anh
3000 EL CAMINO REAL, BLDG. 4
SUITE 200
PALO ALTO
CA
94306
0
1
0
0
COO / Chief Business Officer
Common Stock
2021-12-10
4
P
0
4500
3.90
A
12500
D
/s/ Quan Anh Vu
2021-12-10