0001493152-19-008550.txt : 20190603 0001493152-19-008550.hdr.sgml : 20190603 20190603155304 ACCESSION NUMBER: 0001493152-19-008550 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190115 FILED AS OF DATE: 20190603 DATE AS OF CHANGE: 20190603 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Deming David Don CENTRAL INDEX KEY: 0001753635 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55167 FILM NUMBER: 19873219 MAIL ADDRESS: STREET 1: 16200 45TH STREET SOUTH CITY: AFTON STATE: MN ZIP: 55001 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 2019-01-15 0 0001512922 PetVivo Holdings, Inc. PETV 0001753635 Deming David Don 16200 45TH ST. S. AFTON MN 55001 1 0 0 0 Common Stock Warrant .30 2019-01-15 4 A 0 93750 A 2019-01-15 2029-01-15 Common Stock 93750 193750 D On January 15th, 2019, the Company's Board of Directors approved the issuance of 93,750 warrants for purchase of common stock to David Deming, vested immediately, for a term of ten years with a strike price of $.30 per share and a one-time protection against a reverse split whereby the strike price will not be adjusted upon combination of outstanding shares of stock; this warrant was issued for increased participation in Company activities above what is expected for a Director of the Board. /s/ David Don Deming 2019-06-03