0001493152-20-020269.txt : 20201102 0001493152-20-020269.hdr.sgml : 20201102 20201102060711 ACCESSION NUMBER: 0001493152-20-020269 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201030 FILED AS OF DATE: 20201102 DATE AS OF CHANGE: 20201102 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lai John CENTRAL INDEX KEY: 0001302378 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55167 FILM NUMBER: 201278872 MAIL ADDRESS: STREET 1: 12100 SINGLETREE LANE STREET 2: SUITE 186 CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 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 2020-10-30 0 0001512922 PetVivo Holdings, Inc. PETV 0001302378 Lai John 5251 EDINA INDUSTRIAL BLVD EDINA MN 55439 1 1 1 0 CEO Common Stock 2020-10-30 4 M 0 129387 A 3330233 D Common Stock Warrant .3333 2020-10-30 4 C 0 168750 D 2018-06-30 2020-10-31 Common Stock 168750 1084752 D John Lai converted 168,750 warrants for common stock with an exercise & conversion price of $.33 per share into 129,387 shares of common stock on a cashless basis pursuant to the warrant for common stock's cashless conversion feature. /s/ John Lai 2020-11-02