0001493152-21-027031.txt : 20211102 0001493152-21-027031.hdr.sgml : 20211102 20211102192813 ACCESSION NUMBER: 0001493152-21-027031 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210504 FILED AS OF DATE: 20211102 DATE AS OF CHANGE: 20211102 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Johnson Scott Mitchell CENTRAL INDEX KEY: 0001780313 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40715 FILM NUMBER: 211373131 MAIL ADDRESS: STREET 1: 475 LAKESHORE UNIT #32 CITY: INCLINE VILLAGE STATE: NV ZIP: 89451 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PetVivo Holdings, Inc. CENTRAL INDEX KEY: 0001512922 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 990363559 STATE OF INCORPORATION: NV FISCAL YEAR END: 0331 BUSINESS ADDRESS: STREET 1: 5251 EDINA INDUSTRIAL BLVD CITY: EDINA STATE: MN ZIP: 55439 BUSINESS PHONE: (952) 217-4952 MAIL ADDRESS: STREET 1: 5251 EDINA INDUSTRIAL BLVD CITY: EDINA STATE: MN ZIP: 55439 FORMER COMPANY: FORMER CONFORMED NAME: Technologies Scan Corp DATE OF NAME CHANGE: 20110211 4 1 ownership.xml X0306 4 2021-05-04 0 0001512922 PetVivo Holdings, Inc. PETV 0001780313 Johnson Scott Mitchell 5251 EDINA INDUSTRIAL BLVD EDINA, MN 55439 1 0 0 0 Common Stock 2021-05-04 4 S 0 100 8.85 D 14001 I By spouse Common Stock 2021-05-04 4 S 0 90 8.70 D 13911 I By spouse Common Stock 2021-05-05 4 S 0 2115 7.75 D 11796 I By spouse Common Stock 2021-05-10 4 S 0 271 8.50 D 11525 I By spouse Common Stock 2021-05-10 4 S 0 950 8.55 D 10575 I By spouse Common Stock 2021-08-13 4 P 0 4000 4.50 A 14575 I By spouse Warrants 5.625 2021-08-13 4 P 0 4000 4.50 A 2021-08-10 2026-08-10 Common Stock 4000 4000 I By spouse Represents the purchase price for one unit, which consists of one shares of the Company's common stock and one warrant to purchase one shares of the company's common stock, which is exercisable beginning on or after February 9, 2022 and ending August 16, 2026. The Reporting Person realized short-swing profits under Section 16(b) of the Exchange Act as a result of the purchase of the Issuer's securities by the Reporting Person's wife matched against sales of securities by the Reporting Person's wife as reported herein. On November 1, 2021, the Reporting Person disgorged $12,618.26 to the Issuer, represented the short-swing profits realized by the Reporting Person as a result of such transactions. /s/ Scott M. Johnson 2021-11-02