SEC Form 4 · accession 0001493152-18-014079
PetVivo Holdings, Inc. · PETV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert James Rudelius
Director
Period of report
Sep 24, 2018
Accepted (ET)
Oct 4, 2018 · 2:17 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001512922
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Common Stock WarrantF1 | $1.00 | Sep 24, 2018 | A | 25,000 | A | Sep 24, 2018 | Sep 24, 2021 | Common Stock | 25,000 | 170,000 | D |
Explanation of responses
- F1Warrant for purchase of 25,000 shares of common stock exercisable at $1.00 per share granted on September 24, 2018 in consideration of a bridge note loan to the company in the aggregate amount of $50,000.