0001493152-22-033082.txt : 20221121 0001493152-22-033082.hdr.sgml : 20221121 20221121144559 ACCESSION NUMBER: 0001493152-22-033082 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221118 FILED AS OF DATE: 20221121 DATE AS OF CHANGE: 20221121 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: 221405429 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 2022-11-18 0 0001512922 PetVivo Holdings, Inc. PETV 0001403679 Rudelius Robert James C/O PETVIVO HOLDINGS, INC. 5251 EDINA INDUSTRIAL BLVD EDINA, MN 55439 1 0 0 0 Common Stock 2022-11-18 4 P 0 1240 2.55 A 207351 D Common Stock 2022-11-18 4 P 0 400 2.60 A 207751 D /s/ Robert Rudelius 2022-11-21