SEC Form 4 · accession 0001493152-18-013526
PetVivo Holdings, Inc. · PETV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David Edward Merrill
Director
Period of report
Dec 18, 2017
Accepted (ET)
Sep 20, 2018 · 12:51 pm 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 StockF1 | Dec 18, 2017 | A | 15,000 | $0.35 | A | 15,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Common Stock WarrantsF1 | $0.50 | Dec 18, 2017 | A | 15,000 | A | Dec 18, 2017 | Dec 18, 2020 | Common stock | 15,000 | 115,000 | D |
Explanation of responses
- F115,000 shares of common stock purchased in conjunction with a common stock warrant for purchase of 15,000 shares at $.50 per share, exercisable immediately for a period of three years from the date of the warrant.