PetVivo (PETV) Form 3 PetVivo / Robert James Rudelius ownership change

SEC Form 3

FORM 3

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

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person^*

Rudelius Robert James

(Last) (First) (Middle)

5251 EDINA INDUSTRIAL BLVD

(Street)

EDINA MN 55439

(City) (State) (Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
08/20/2018

3. Issuer Name and Ticker or Trading Symbol
PetVivo Holdings, Inc. [ PETV ]

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

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

5. 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 Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock	181,727	D

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
Common Stock Warrant	09/30/2018	08/20/2023	Common Stock	100,000(1)	1	D
Common Stock Warrant	12/08/2017	12/08/2020	Common Stock	45,000(2)	0.5	D

Explanation of Responses:

1. 100,000 warrants granted on August 20, 2018, vesting quarterly over a two-year Term in 12,500 increments contingent on continuing to serve in a Director capacity during the Term.

2. 45,000 warrants granted on December 8, 2017, vested immediately, issued pursuant to terms of a subscription agreement and purchase price of $45,000.

	/s/ Robert Rudelius	09/20/2018
	** 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 5 (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).
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