SEC Form 4 · accession 0001493152-18-013450
PetVivo Holdings, Inc. · PETV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Wesley Hayne
Officer — CEO · Director
Period of report
Jun 7, 2017
Accepted (ET)
Sep 19, 2018 · 10:32 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 | Jun 7, 2017 | A | 200,000 | $0.21 | A | 360,000 | D | |
| Common StockF1 | Jun 7, 2017 | A | 1,250,000 | $0.296 | A | 1,610,000 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The 1,250,000 shares of common stock deemed executed on 6/07/2017 are subject to terms of the agreed upon Escrow Agreement and are acquired in consideration of Wesley Hayne becoming the CEO of PetVivo Holdings.