SEC Form 4 · accession 0001477932-15-003751
PetVivo Holdings, Inc. · PETV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David B. Masters
Officer — President and CTO · Director · 10% Owner
Period of report
Apr 10, 2015
Accepted (ET)
Jun 8, 2015 · 6:27 am EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001512922
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Apr 10, 2015 | J | 43,000 | $4.00 | A | 1,503,645 | D | |
| Common StockF2 | holding | — | — | — | 1,406,110 | I | See footnote |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1On approximately April 10, 2015, there as a settlement of amounts due and owing to the Reporting Person by the Issuer pertaining to compensation owed for past services and associated benefits in the amount of $110,000 (the $$Debt$$). The Reporting Person agreed to accept the issuance by the Issuer of 27,500 shares of restricted common stock at a per share price of $0.25. The previously reported direct holdings of 349,761,041 shares were reduced to 699,522 shares based on the reverse stock split of one for 500 effective September 8, 2014.
- F2The Reporting Person is a director and the chief executive officer of Gel-Del Technologies Inc., which was previously reported as holding 703,055,020 shares (reduced to 1,406,110 shares based on the reverse stock split of one for 500 effective September 8, 2014). The Reporting Person together with John F. Dolan has the sole power and authority to direct the disposition of the shares of common stock held by Gel-Del Technologies Inc.