0001493152-19-002344.txt : 20190221
0001493152-19-002344.hdr.sgml : 20190221
20190221130136
ACCESSION NUMBER: 0001493152-19-002344
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190115
FILED AS OF DATE: 20190221
DATE AS OF CHANGE: 20190221
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Rudelius Robert James
CENTRAL INDEX KEY: 0001403679
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-55167
FILM NUMBER: 19621129
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
4
1
ownership.xml
X0306
4
2019-01-15
0
0001512922
PetVivo Holdings, Inc.
PETV
0001403679
Rudelius Robert James
5251 EDINA INDUSTRIAL BLVD
EDINA
MN
55439
1
0
0
0
Common Stock Warrant
.30
2019-01-15
4
A
0
87500
A
2019-01-15
2029-01-15
Common Stock
87500
175000
D
On January 15th, 2019, the Company's Board of Directors approved the issuance of 87,500 warrants for purchase of common stock to Robert Rudelius, vested immediately, for a term of ten years with a strike price of $.30 per share and a one-time protection against a reverse split whereby the strike price will not be adjusted upon combination of outstanding shares of stock; this warrant was issued for increased participation in Company activities above what is expected for a Director of the Board.
/s/ Robert Rudelius
2019-02-21