-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, UMpyTHEoSM7d4vDiT5pP81Ol5Ew/xDA1BcREespJx+o0ruKm4k7I9oy89J6+yEJ5 WYY2AyBG8kx2VYCvO2gBng== 0001181431-08-015806.txt : 20080304 0001181431-08-015806.hdr.sgml : 20080304 20080304160635 ACCESSION NUMBER: 0001181431-08-015806 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20080229 FILED AS OF DATE: 20080304 DATE AS OF CHANGE: 20080304 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: VAN KESTEREN GUUS CENTRAL INDEX KEY: 0001246994 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25203 FILM NUMBER: 08663753 BUSINESS ADDRESS: BUSINESS PHONE: 9544731254 MAIL ADDRESS: STREET 1: 2555 DAVIE ROAD 110-B CITY: DAVIE STATE: FL ZIP: 33317 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: OMNICOMM SYSTEMS INC CENTRAL INDEX KEY: 0001034592 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 113349762 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2555 DAVIE ROAD STREET 2: SUITE 110-B CITY: FORT LAUDERDALE STATE: FL ZIP: 33317 BUSINESS PHONE: 954-473-1254 MAIL ADDRESS: STREET 1: 2555 DAVIE ROAD STREET 2: SUITE 110-B CITY: DAVIE STATE: FL ZIP: 33317 FORMER COMPANY: FORMER CONFORMED NAME: CORAL DEVELOPMENT CORP DATE OF NAME CHANGE: 19970225 4 1 rrd198194.xml FORM 4 X0202 4 2008-02-29 0 0001034592 OMNICOMM SYSTEMS INC OMCM 0001246994 VAN KESTEREN GUUS 1801 CLINT MOORE ROAD SUITE 100 BOCA RATON FL 33487 1 0 0 0 Convertible Debenture 0.59 2008-02-29 4 P 0 252101 0 A 2008-02-29 2008-08-29 Common Stock 252101 552101 D Common Stock Warrants 0.75 2008-02-29 4 P 0 189076 0 A 2008-02-29 2012-02-29 Common Stock 189076 741177 D /s/ Guus van Kesteren 2008-03-04 -----END PRIVACY-ENHANCED MESSAGE-----