0001493152-22-012033.txt : 20220504 0001493152-22-012033.hdr.sgml : 20220504 20220504091555 ACCESSION NUMBER: 0001493152-22-012033 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220502 FILED AS OF DATE: 20220504 DATE AS OF CHANGE: 20220504 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: 001-40715 FILM NUMBER: 22890007 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 2022-05-02 0 0001512922 PetVivo Holdings, Inc. PETV 0001403679 Rudelius Robert James 5251 EDINA INDUSTRIAL BLVD EDINA, MN 55439 1 0 0 0 Employee Stock Option (right to buy) 2.04 2022-05-02 4 A 0 6740 0 A 2027-05-02 Common Stock 6740 6740 D The Options were granted under the PetVivo Holdings, Inc. 2020 Equity Incentive Plan and are fully vested on the grant date. /s/ Robert Rudelius 2022-05-02