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