0001493152-18-013533.txt : 20180920 0001493152-18-013533.hdr.sgml : 20180920 20180920144052 ACCESSION NUMBER: 0001493152-18-013533 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180820 FILED AS OF DATE: 20180920 DATE AS OF CHANGE: 20180920 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rudelius Robert James CENTRAL INDEX KEY: 0001403679 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55167 FILM NUMBER: 181079293 MAIL ADDRESS: STREET 1: 6913 ARBOR LANE CITY: MCCLEAN STATE: VA ZIP: 22101 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 3 1 ownership.xml X0206 3 2018-08-20 0 0001512922 PetVivo Holdings, Inc. PETV 0001403679 Rudelius Robert James 5251 EDINA INDUSTRIAL BLVD EDINA MN 55439 1 0 0 0 Common Stock 181727 D Common Stock Warrant 1.00 2018-09-30 2023-08-20 Common Stock 100000 D Common Stock Warrant .50 2017-12-08 2020-12-08 Common Stock 45000 D 100,000 warrants granted on August 20, 2018, vesting quarterly over a two-year Term in 12,500 increments contingent on continuing to serve in a Director capacity during the Term. 45,000 warrants granted on December 8, 2017, vested immediately, issued pursuant to terms of a subscription agreement and purchase price of $45,000. /s/ Robert Rudelius 2018-09-20