-----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, QZQQWl2ny9OhgU6PU7NhzmgMbm/DTA6U6mgWh93f46oyjZeE3ApEZXb5wTPirSwC RPN0u/ME6q2g5gm18vfuNg== 0001281486-05-000003.txt : 20050107 0001281486-05-000003.hdr.sgml : 20050107 20050107111546 ACCESSION NUMBER: 0001281486-05-000003 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041231 FILED AS OF DATE: 20050107 DATE AS OF CHANGE: 20050107 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BEARDSLEY CHARLES CENTRAL INDEX KEY: 0001281486 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-25203 FILM NUMBER: 05517306 MAIL ADDRESS: STREET 1: 2555 DAVIE RD 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: 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/A 1 primary_doc.xml PRIMARY DOCUMENT X0202 4/A 2004-12-31 2005-01-07 0 0001034592 OMNICOMM SYSTEMS INC OMCM 0001281486 BEARDSLEY CHARLES 2555 DAVIE RD DAVIE FL 33317 0 1 0 0 Senior Vice President Common Stock Option 0.25 2004-12-31 4 A 0 150000 0.25 A 2004-12-31 2009-12-31 Common Stock 150000 455000 D When originally filed the Transaction Code was inadvertently filed as an open market purchase. The correct code should have listed this transaction as a grant of stock options. Charles R. Beardsley 2005-01-07 -----END PRIVACY-ENHANCED MESSAGE-----