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