FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 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 |
|
|||||||||||||||
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
|
2. Issuer Name and Ticker or Trading Symbol
OMNICOMM SYSTEMS INC [ OMCM.OB ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
||||||||||||||||||||||||
3. Date of Earliest Transaction
(Month/Day/Year) 08/31/2006 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
|
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 Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock, par value $.001 per share | 02/02/2005 | S | 333,000 | D | $0.19 | 2,746,571(2)(3)(4)(5) | D(1) | |||
Common Stock, par value $.001 per share | 02/08/2005 | S | 420,000 | D | $0.19 | 2,746,571(2)(3)(4)(5) | D(1) | |||
Common Stock, par value $.001 per share | 02/09/2005 | S | 624,470 | D | $0.19 | 2,746,571(2)(3)(4)(5) | D(1) | |||
Common Stock, par value $.001 per share | 02/17/2005 | C | 800,000 | A | $0.25 | 2,746,571(2)(3)(4)(5) | D(1) | |||
Common Stock, par value $.001 per share | 02/17/2005 | S | 800,000 | A | $0.19 | 2,746,571(2)(3)(4)(5) | D(1) | |||
Common Stock, par value $.001 per share | 06/20/2006 | C | 515,433 | A | $0.25 | 2,746,571(2)(3)(4)(5) | D(1) | |||
Common Stock, par value $.001 per share | 06/13/2006 | O | 1,710,509 | A | $0.25 | 2,746,571(2)(3)(4)(5) | D(1) | |||
Common Stock, par value $.001 per share | 06/20/2006 | C | 377,402 | A | $0.25 | 2,746,571(2)(3)(4)(5) | D(1) | |||
Common Stock, par value $.001 per share | 06/20/2006 | C | 143,227 | A | $0.25 | 2,746,571(2)(3)(4)(5) | D(1) |
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) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Series B Convertible Preferred Stock | $0.25 | 09/04/2003 | C | 5,000 | 09/04/2003 | 08/31/2006 | Common Stock | 200,000 | $0.25 | 2,746,571(2)(3)(4)(5) | D | ||||
Series B Convertible Preferred Stock | $0.25 | 09/30/2003 | C | 12,500 | 09/30/2003 | 08/31/2006 | Common Stock | 500,000 | $0.25 | 2,746,571(2)(3)(4)(5) | D(1) | ||||
Series B Convertible Preferred Stock | $0.25 | 12/02/2003 | C | 12,500 | 12/02/2003 | 08/31/2006 | Common Stock | 500,000 | $0.25 | 2,746,571(2)(3)(4)(5) | D(1) | ||||
Series B Convertible Preferred Stock | $0.25 | 01/13/2004 | C | 12,500 | 01/13/2004 | 08/31/2006 | Common Stock | 500,000 | $0.25 | 2,746,571(2)(3)(4)(5) | D(1) | ||||
Series B Convertible Preferred Stock | $0.25 | 08/19/2004 | C | 12,500 | 08/19/2004 | 08/31/2006 | Common Stock | 500,000 | $0.25 | 2,746,571(2)(3)(4)(5) | D(1) | ||||
Series B Convertible Preferred Stock | $0.25 | 02/17/2005 | C | 20,000 | 02/17/2005 | 08/31/2006 | Common Stock | 800,000 | $0.25 | 2,746,571(2)(3)(4)(5) | D(1) | ||||
Series B Convertible Preferred Stock | $0.25 | 06/20/2006 | C | 11,300 | 06/20/2006 | 08/31/2006 | Common Stock | 257,716 | $0.25 | 2,746,571(2)(3)(4)(5) | D(1) | ||||
Warrants to purchase common stock | $0.25 | 06/20/2006 | O | 452,000 | 06/20/2006 | 08/31/2006 | Common Stock | 257,717 | $0.25 | 2,746,571(2)(3)(4)(5) | D(1) | ||||
Warrants to purchase common stock | $0.25 | 06/13/2006 | O | 3,000,000 | 06/13/2006 | 08/31/2006 | Common Stock | 1,710,509 | $0.25 | 2,746,571(2)(3)(4)(5) | D(1) | ||||
Warrants to purchase common stock | $0.25 | 06/20/2006 | O | 330,960 | 06/20/2006 | 08/31/2006 | Common Stock | 188,701 | $0.25 | 2,746,571(2)(3)(4)(5) | D(1) | ||||
Series B Convertible Preferred Stock | $0.25 | 06/20/2006 | C | 8,274 | 06/20/2006 | 08/31/2006 | Common Stock | 188,701 | $0.25 | 2,746,571(2)(3)(4)(5) | D(1) | ||||
Warrants to purchase common stock | $0.25 | 06/20/2006 | O | 125,600 | 06/20/2006 | 08/31/2006 | Common Stock | 71,614 | $0.25 | 2,746,571(2)(3)(4)(5) | D(1) | ||||
Series B Convertible Preferred Stock | $0.25 | 06/20/2006 | C | 3,140 | 06/20/2006 | 08/31/2006 | Common Stock | 71,613 | $0.25 | 2,746,571(2)(3)(4)(5) | D(1) |
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
| ||||||||||||||||||||||||
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
| ||||||||||||||||||||||||
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
| ||||||||||||||||||||||||
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
|
Explanation of Responses: |
1. On the date hereof, the Reporting Person has a direct beneficial ownership interest in 2,225,942 shares of Common Stock. |
2. On the date hereof, ComVest Management, LLC ("ComVest Management") has an indirect beneficial ownership interest in 2,225,942 shares of Common Stock, which are directly beneficially owned by the Reporting Person, which ComVest Management may be deemed to beneficially own by virtue of the fact that it is the general partner of the Reporting Person. |
3. On the date hereof, ComVest Group Holdings, LLC ("CGH") has an indirect beneficial ownership interest in 2,225,942 shares of Common Stock, which are directly beneficially owned by the Reporting Person, which CGH may be deemed to beneficially own by virtue of the fact that it is the sole member of ComVest Management, general partner of the Reporting Person. |
4. On the date hereof, Commonwealth Associates Liquidation, LLC ("CAL"), has a direct beneficial ownership interest in 377,402 shares of Common Stock. |
5. On the date hereof, Michael Falk ("Falk") has (i) an indirect beneficial ownership interest in 2,746,571 shares of Common Stock, which are directly beneficially owned by the Reporting Person, which Falk may be deemed to beneficially own by virtue of the fact that he is the Chairman and principal member of CGH; (ii) a direct beneficial ownership interest in 143,227 shares of Common Stock; and (iii) an indirect beneficial ownership interest in 377,402 shares of Common Stock, which are directly beneficially owned by CAL, which Falk may be deemed to beneficially own by virtue of the fact that Falk is the principal stockholder of Commonwealth Associates Management Company, Inc. (the managing member of CAL). |
COMVEST VENTURE PARTNERS, L.P., By: ComVest Management LLC, its general partner | 02/17/2006 | |
COMMONWEALTH ASSOCIATES LIQUIDATION, LLC, By: Commonwealth Associates Management Company, Inc., its managing member, By: /s/Michael S. Falk, Principal Stockholder | 02/17/2006 | |
COMMONWEALTH ASSOCIATES MANAGEMENT COMPANY, INC., By: /s/Michael S. Falk, Principal Stockholder | 02/17/2006 | |
COMVEST GROUP HOLDINGS, LLC, By: /s/Michael S. Falk, Chairman | 02/17/2006 | |
COMVEST VENTURE PARTNERS, LP, By: ComVest Management, LLC, its general partner, By: /s/Michael S. Falk, Managing Member | 02/17/2006 | |
COMVEST MANAGEMENT, LLC, By: ComVest Group Holdings, LLC, its sole member, By: /s/Michael S. Falk, Managing Member | 02/17/2006 | |
Michael S. Falk, individually | 02/17/2006 | |
** 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. |