0001493152-22-029443.txt : 20221024 0001493152-22-029443.hdr.sgml : 20221024 20221024172132 ACCESSION NUMBER: 0001493152-22-029443 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221021 FILED AS OF DATE: 20221024 DATE AS OF CHANGE: 20221024 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Jasper Joseph William CENTRAL INDEX KEY: 0001753636 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40715 FILM NUMBER: 221326603 MAIL ADDRESS: STREET 1: 201 SOUTH 11TH STREET STREET 2: UNIT 1030 CITY: MINNEAPOLIS STATE: MN ZIP: 55403 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 2022-10-21 0 0001512922 PetVivo Holdings, Inc. PETV 0001753636 Jasper Joseph William C/OF PETVIVO HOLDINGS, INC. 5251 EDINA INDUSTRIAL BLVD EDINA, MN 55439 1 0 0 0 Stock Option (right to buy) 2.56 2022-10-21 4 A 0 23835 0 A 2029-10-20 Common Stock 23835 23835 D The Options were granted under the PetVivo Holdings, Inc. Amended and Restated 2020 Equity Incentive Plan and vest on the earlier of (i) September 30, 2023 or (ii) the day immediately preceding the next annual meeting of stockholders following the grant date, subject to the Reporting Person's continued service as a director through the vesting date. /s/ Joseph Jasper 2022-10-24