Cavitation (CVAT) Form 5 Cavitation / IGOR GORODNITSKY ownership change

SEC Form 5

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.

X

Form 4 Transactions Reported.

1. Name and Address of Reporting Person^*

GORODNITSKY IGOR

(Last) (First) (Middle)

10019 CANOGA AVENUE

(Street)

CHATSWORTH CA 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)
06/30/2020

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)
				Amount	(A) or (D)	Price
Common Stock	08/28/2014		J4(1)	8,000,000	D	$0(1)	9,323,475	D
Common Stock	04/04/2018		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)
					(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
Warrants	$0.03	05/13/2013		4A	2,000,000		05/13/2013	05/13/2023	Common Stock	2,000,000	(3)	6,250,000	D
Warrants	$0.045	10/10/2013		4A	3,000,000		10/10/2013	10/10/2023	Common Stock	3,000,000	(3)	9,250,000	D
Warrants	$0.03	01/13/2017		4A	3,000,000		01/13/2017	01/13/2027	Common Stock	3,000,000	(3)	12,250,000	D
Warrants	$0.03	12/26/2019		4A	3,000,000		12/26/2019	12/26/2029	Common Stock	3,000,000	(3)	15,250,000	D
Warrants	$0.045	05/18/2020		4D		3,000,000	10/10/2013	10/10/2023	Common Stock	3,000,000	(4)	12,250,000	D
Warrants	$0.03	05/18/2020		4D		4,250,000	12/18/2012	12/18/2022	Common Stock	4,250,000	(4)	8,000,000	D
Warrants	$0.03	05/18/2020		4D		2,000,000	05/13/2013	05/13/2023	Common Stock	2,000,000	(4)	6,000,000	D
Warrants	$0.045	05/18/2020		4A	3,000,000		05/18/2020	05/18/2030	Common Stock	3,000,000	(3)	9,000,000	D
Warrants	$0.03	05/18/2020		4A	6,250,000		05/18/2020	05/18/2030	Common Stock	6,250,000	(3)	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	11/04/2020
	** 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).
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