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