SEC Info - Gorodnitsky Igor - ‘5’ for 6/30/20 re: Cavitation Technologies, Inc.

FORM 5

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

Form 3 Holdings Reported.

Form 4 Transactions Reported.

1. Name and Address of Reporting Person^*

GORODNITSKY IGOR

(Last)

(First)

(Middle)

10019 CANOGA AVENUE

(Street)

CHATSWORTH

91311

(City)

(State)

(Zip)

2. Issuer Name and Ticker or Trading Symbol
Cavitation Technologies, Inc. [ CVAT ]

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director	10% Owner
X	Officer (give title below)	Other (specify below)
President

3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
6/30/20

4. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	3. Transaction Code (Instr. 8)	4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5)			5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4)	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	3. Transaction Code (Instr. 8)	Amount	(A) or (D)	Price		6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
Common Stock	8/28/14		J4 ⁽¹⁾	8,000,000	D	$0 ⁽¹⁾	9,323,475	D
Common Stock	4/4/18		J4 ⁽²⁾	4,323,475	D	$0 ⁽²⁾	5,000,000	D

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	4. Transaction Code (Instr. 8)	5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)		6. Date Exercisable and Expiration Date (Month/Day/Year)		7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)		8. Price of Derivative Security (Instr. 5)	9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)	10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	4. Transaction Code (Instr. 8)	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	8. Price of Derivative Security (Instr. 5)		10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
Warrants	$0.03	5/13/13		4A	2,000,000		5/13/13	5/13/23	Common Stock	2,000,000	2,000,000	6,250,000	D
Warrants	$0.045	10/10/13		4A	3,000,000		10/10/13	10/10/23	Common Stock	3,000,000	3,000,000	9,250,000	D
Warrants	$0.03	1/13/17		4A	3,000,000		1/13/17	1/13/27	Common Stock	3,000,000	3,000,000	12,250,000	D
Warrants	$0.03	12/26/19		4A	3,000,000		12/26/19	12/26/29	Common Stock	3,000,000	3,000,000	15,250,000	D
Warrants	$0.045	5/18/20		4D		3,000,000	10/10/13	10/10/23	Common Stock	3,000,000	3,000,000	12,250,000	D
Warrants	$0.03	5/18/20		4D		4,250,000	12/18/12	12/18/22	Common Stock	4,250,000	4,250,000	8,000,000	D
Warrants	$0.03	5/18/20		4D		2,000,000	5/13/13	5/13/23	Common Stock	2,000,000	2,000,000	6,000,000	D
Warrants	$0.045	5/18/20		4A	3,000,000		5/18/20	5/18/30	Common Stock	3,000,000	3,000,000	9,000,000	D
Warrants	$0.03	5/18/20		4A	6,250,000		5/18/20	5/18/30	Common Stock	6,250,000	6,250,000	15,250,000	D

Explanation of Responses:

(1) Reporting Person transferred these shares to his ex-wife as part of a divorce settlement; there was no money received.

(2) Reporting Person gifted these shares to his daughter; there was no money received.

(3) Reporting Person acquired Issuer's warrants as part of compensation for Reporting Person's employment at Issuer.

(4) These warrants were cancelled by the Company.

	/s/ Igor Gorodnitsky	11/4/20
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.

____________ Transaction Codes:
A	Grant, award or other acquisition pursuant to Rule 16b-3(d).
D	Disposition to the Issuer of Issuer equity securities pursuant to Rule 16b-3(e).
J	Other acquisition or disposition.
4	A Form 4 Transaction.

Gorodnitsky Igor – ‘5’ for 6/30/20 re: Cavitation Technologies, Inc.

On: Wednesday, 11/4/20, at 5:01pm ET · For: 6/30/20 · Accession #: 1683168-20-3700 · File #: 0-53239

Annual Statement of Changes in Beneficial Ownership of Securities by an Insider — Form 5 — SEA’34
Filing Table of Contents

This ‘5’ Document is an XML Data File that may be rendered in various formats:

Gorodnitsky Igor – ‘5’ for 6/30/20 re: Cavitation Technologies, Inc.

On: Wednesday, 11/4/20, at 5:01pm ET · For: 6/30/20 · Accession #: 1683168-20-3700 · File #: 0-53239

Annual Statement of Changes in Beneficial Ownership of Securities by an Insider — Form 5 — SEA’34Filing Table of Contents

This ‘5’ Document is an XML Data File that may be rendered in various formats:

Annual Statement of Changes in Beneficial Ownership of Securities by an Insider — Form 5 — SEA’34
Filing Table of Contents