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*
HERBERT MICHAEL E

(Last) (First) (Middle)
2735 E PARLEYS WAY
SUITE 205

(Street)
SALT LAKE CITY UT 84109

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
02/26/2019
3. Issuer Name and Ticker or Trading Symbol
PREDICTIVE TECHNOLOGY GROUP, INC. [ PRED ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Marketing Officer
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)
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 Option 10/30/2018(1) 10/30/2027 Common Stock 200,000 0.5 D
Common Stock Option 11/28/2019(2) 11/28/2028 Common Stock 200,000 0.5 D
Explanation of Responses:
1. Options for 66,666 shares became exercisable on October 30, 2018, Options for 66,666 shares became exercisable on October 30, 2019, and Options for 66,667 shares become exercisable on October 30, 2020.
2. Options for 66,666 shares become exercisable on November 28, 2019, Options for 66,666 shares become exercisable on November 28, 2020, and Options for 66,667 shares become exercisable on November 28, 2021.
/s/ Michael Herbert 02/26/2019
** 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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