0001493152-19-016469.txt : 20191105 0001493152-19-016469.hdr.sgml : 20191105 20191105164332 ACCESSION NUMBER: 0001493152-19-016469 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191031 FILED AS OF DATE: 20191105 DATE AS OF CHANGE: 20191105 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: 191193927 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 2019-10-31 0 0001512922 PetVivo Holdings, Inc. PETV 0001753635 Deming David Don 5251 EDINA INDUSTRIAL BLVD EDINA MN 55439 1 0 0 0 Common Stock Warrant .50 2019-10-31 4 A 0 45833 A 2019-12-31 2024-12-31 Common Stock 45833 239583 D On October 31, 2019, the Company's Board of Directors approved the issuance of 45,833 warrants for purchase of common stock to David Deming, vested quarterly over a term between October 31, 2019 and August 31, 2020, with a strike price of $.50 per share. /s/ David Don Deming 2019-11-05