0001493152-23-012425.txt : 20230417 0001493152-23-012425.hdr.sgml : 20230417 20230417060346 ACCESSION NUMBER: 0001493152-23-012425 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230414 FILED AS OF DATE: 20230417 DATE AS OF CHANGE: 20230417 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Breithaupt John Spencer CENTRAL INDEX KEY: 0001567207 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40715 FILM NUMBER: 23822731 MAIL ADDRESS: STREET 1: 3041 W. PASADENA DR. CITY: BOISE STATE: ID ZIP: 83705 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 3 1 ownership.xml X0206 3 2023-04-14 0 0001512922 PetVivo Holdings, Inc. PETV 0001567207 Breithaupt John Spencer C/O PET VIVO, INC., 5251 EDINA INDUSTRIAL BLVD. EDINA, MN 55439 1 0 0 0 Common Stock 0 D The Reporting Person does not own any shares of the Issuer's common stock as of the date of his appointment to the Issuer's Board of Directors. /s/ John Spencer Breithaupt 2023-04-16