0001493152-19-015132.txt : 20191007 0001493152-19-015132.hdr.sgml : 20191007 20191007151421 ACCESSION NUMBER: 0001493152-19-015132 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190911 FILED AS OF DATE: 20191007 DATE AS OF CHANGE: 20191007 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Meyer Randall A. CENTRAL INDEX KEY: 0001602552 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55167 FILM NUMBER: 191140759 MAIL ADDRESS: STREET 1: 1000 WESTGATE DRIVE STREET 2: SUITE 127 CITY: ST. PAUL STATE: MN ZIP: 55114 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 2019-09-11 0 0001512922 PetVivo Holdings, Inc. PETV 0001602552 Meyer Randall A. 5251 EDINA INDUSTRIAL BLVD EDINA MN 55439 1 0 0 0 Common Stock 2019-09-11 4 A 0 639786 A 2361549 D On September 11th, 2019 PetVivo Holdings Inc. and Randall Meyer entered into a settlement agreement whereby Randall forgave $191,936.28 in accrued compensation owed to him in exchange for 639,786 shares of common stock. Randall has agreed to a 3-year lock-up agreement whereby his sale or transfer of these securities is restricted. /s/ Randall Meyer 2019-10-07