0001437749-14-014113.txt : 20140804 0001437749-14-014113.hdr.sgml : 20140804 20140804154308 ACCESSION NUMBER: 0001437749-14-014113 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20140731 FILED AS OF DATE: 20140804 DATE AS OF CHANGE: 20140804 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Vickers Thomas E CENTRAL INDEX KEY: 0001558977 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25203 FILM NUMBER: 141012830 MAIL ADDRESS: STREET 1: 2101 WEST COMMERCIAL BLVD STREET 2: SUITE 3500 CITY: FORT LAUDERDALE STATE: FL ZIP: 33309 4 1 rdgdoc.xml FORM 4 X0306 4 2014-07-31 0001034592 OMNICOMM SYSTEMS INC OMCM 0001558977 Vickers Thomas E 2101 W. COMMERCIAL BLVD. SUITE 3500 FORT LAUDERDALE FL 33309 1 Chief Financial Officer Common Stock 2014-07-31 4 A 0 100000 0.17 A 200000 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. Vickers retains voting rights over all the shares while in escrow. /s/ Thomas E. Vickers 2014-08-04