0001437749-13-003044.txt : 20130315 0001437749-13-003044.hdr.sgml : 20130315 20130315195717 ACCESSION NUMBER: 0001437749-13-003044 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130313 FILED AS OF DATE: 20130315 DATE AS OF CHANGE: 20130315 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Johnson Stephen Eric CENTRAL INDEX KEY: 0001376218 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25203 FILM NUMBER: 13695752 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: 2101 W COMMERCIAL BLVD. STREET 2: SUITE 3500 CITY: FORT LAUDERDALE STATE: FL ZIP: 33309 BUSINESS PHONE: 954-473-1254 MAIL ADDRESS: STREET 1: 2101 W COMMERCIAL BLVD. STREET 2: SUITE 3500 CITY: FORT LAUDERDALE STATE: FL ZIP: 33309 FORMER COMPANY: FORMER CONFORMED NAME: CORAL DEVELOPMENT CORP DATE OF NAME CHANGE: 19970225 4 1 rdgdoc.xml PRIMARY DOCUMENT X0306 4 2013-03-13 0001034592 OMNICOMM SYSTEMS INC OMCM 0001376218 Johnson Stephen Eric 2101 W. COMMERCIAL BLVD. SUITE 3500 FORT LAUDERDALE FL 33309 1 COO & President Common Stock 2013-03-13 4 A 0 100000 0.18 A 258586 D Issued pursuant to the terms and conditions of the 2009 Equity Incentive Plan of Omnicomm Systems, Inc. and held in escrow to be released ratable over a three year period condition upon continued employment. Mr. Johnson retains voting rights over all the shares while in escrow. /s/ Stephen E. Johnson 2013-03-15