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Ownership Document
|
| Schema Version: X0508 |
| Document Type: 4 |
| Period of Report: 12/29/23 |
| Not Subject to Section 16: 0 |
| Issuer: |
| Issuer CIK: 1512922 |
| Issuer Name: PetVivo Holdings, Inc. |
| Issuer Trading Symbol: PETV |
| Reporting Owner: |
| Reporting Owner ID: |
| | Owner CIK: 1403679 |
| | Owner Name: Rudelius Robert James |
| Reporting Owner Address: |
| | Owner Street 1: 5251 EDINA INDUSTRIAL BLVD. |
| | Owner Street 2: |
| | Owner City: EDINA, |
| | Owner State: MN |
| | Owner ZIP Code: 55439 |
| | Owner State Description: |
| Reporting Owner Relationship: |
| | Is Director? Yes |
| | Is Officer? No |
| | Is Ten Percent Owner? No |
| | Is Other? No |
| | Officer Title: |
| | Other Text: |
| Aff 10b5 One: 0 |
| Derivative Table: |
| Derivative Transaction: |
| | Security Title: |
| | | Value: Stock Option (right to buy) |
| | Conversion or Exercise Price: |
| | | Value: 1.06 |
| | Transaction Date: |
| | | Value: 12/29/23 |
| | Deemed Execution Date: |
| | Transaction Coding: |
| | | Transaction Form Type: 4 |
| | | Transaction Code: A |
| | | Equity Swap Involved? No |
| | Transaction Timeliness: |
| | Transaction Amounts: |
| | | Transaction Shares: |
| Value: 31,780 |
| | | Transaction Price Per Share: |
| Value: 0 |
| | | Transaction Acquired-Disposed Code: |
| Value: A |
| | Exercise Date: |
| | | Footnote ID: F1 |
| | Expiration Date: |
| | | Value: 12/28/30 |
| | Underlying Security: |
| | | Underlying Security Title: |
| Value: Common Stock |
| | | Underlying Security Shares: |
| Value: 31,780 |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 31,780 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| Footnotes: |
| Footnote - F1: The Options were granted under the PetVivo Holdings, Inc. Amended and Restated 2020 Equity Incentive Plan and vest on the earlier of (i) September 30, 2024, or (ii) the day immediately preceding the next annual meeting of stockholders following the grant date, subject to the Reporting Person's continued service as a director through the vesting date. |
| Owner Signature: |
| Signature Name: /s/ Robert Rudelius |
| Signature Date: 1/2/24 |
