SEC Form 4 · accession 0001493152-18-013528
PetVivo Holdings, Inc. · PETV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David Edward Merrill
Director
Period of report
Jun 25, 2018
Accepted (ET)
Sep 20, 2018 · 12:55 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 | Jun 25, 2018 | M | 15,000 | $0.50 | A | 30,000 | 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 | Jun 25, 2018 | M | 15,000 | D | Dec 31, 2017 | Nov 5, 2022 | Common stock | 15,000 | 100,000 | D |
Explanation of responses
- F1Warrant for 15,000 shares of common stock exercised at $.50 per share.