0001437749-12-010381.txt : 20121017
0001437749-12-010381.hdr.sgml : 20121017
20121017160522
ACCESSION NUMBER: 0001437749-12-010381
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121016
FILED AS OF DATE: 20121017
DATE AS OF CHANGE: 20121017
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Vickers Thomas E
CENTRAL INDEX KEY: 0001558977
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-25203
FILM NUMBER: 121148472
MAIL ADDRESS:
STREET 1: 2101 WEST COMMERCIAL BLVD
STREET 2: SUITE 3500
CITY: FORT LAUDERDALE
STATE: FL
ZIP: 33309
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
3
1
rdgdoc.xml
PRIMARY DOCUMENT
X0206
3
2012-10-16
0
0001034592
OMNICOMM SYSTEMS INC
OMCM
0001558977
Vickers Thomas E
2101 W. COMMERCIAL BLVD.
SUITE 3500
FORT LAUDERDALE
FL
33309
1
Chief Financial Officer
Stock Option
0.045
2012-12-30
2016-12-30
Common Stock
100000
D
50,000 exercisable 12/30/2012 and 50,000 exercisable 12/30/2013
/s/ Thomas E. Vickers
2012-10-17