-----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, Q3Fdfct7DXawHXmarlrUTZtGoxigPqlPdqjZI4VqUWdoaxqWsGCITl0RFrdtxhVb m81mZDvshOyfBkgAW5ANXQ== 0001238906-04-000001.txt : 20040105 0001238906-04-000001.hdr.sgml : 20040105 20040105143537 ACCESSION NUMBER: 0001238906-04-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031231 FILED AS OF DATE: 20040105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WIT CORNELIS F CENTRAL INDEX KEY: 0001238906 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25203 FILM NUMBER: 04503910 BUSINESS ADDRESS: STREET 1: OMNI COMM SYSTEMS INC STREET 2: 2555 DAVIES ROAD STE 110-B CITY: DAVIE STATE: FL ZIP: 33317 BUSINESS PHONE: 9544731254 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: 0630 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 primary_doc.xml PRIMARY DOCUMENT X0201 4 2003-12-31 0 0001034592 OMNICOMM SYSTEMS INC OMCM 0001238906 WIT CORNELIS F 1 1 0 0 President/CEO Common Stock Options 0.25 2003-12-31 4 A 0 150000 0.25 A 2003-12-31 2010-12-31 Common Stock 150000 555000 D Cornelis F. Wit 2004-01-05 -----END PRIVACY-ENHANCED MESSAGE-----