0001493152-22-029447.txt : 20221024
0001493152-22-029447.hdr.sgml : 20221024
20221024172532
ACCESSION NUMBER: 0001493152-22-029447
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: Coolidge Leslie Anne
CENTRAL INDEX KEY: 0001712560
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40715
FILM NUMBER: 221326632
MAIL ADDRESS:
STREET 1: 345 OLD SUTTON ROAD
CITY: BARRINGTON HILLS
STATE: IL
ZIP: 60010
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
0001712560
Coolidge Leslie Anne
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/ Leslie Anne Coolidge
2022-10-24