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