0001437749-15-020224.txt : 20151110 0001437749-15-020224.hdr.sgml : 20151110 20151109153745 ACCESSION NUMBER: 0001437749-15-020224 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150131 FILED AS OF DATE: 20151109 DATE AS OF CHANGE: 20151109 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: WIT CORNELIS F CENTRAL INDEX KEY: 0001238906 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-25203 FILM NUMBER: 151215422 MAIL ADDRESS: STREET 1: 2101 WEST COMMERCIAL BLVD. STREET 2: SUITE 3500 CITY: FORT LAUDERDALE STATE: FL ZIP: 33309 4/A 1 rdgdoc.xml FORM 4/A X0306 4/A 2015-01-31 2015-02-03 0001034592 OMNICOMM SYSTEMS INC OMCM 0001238906 WIT CORNELIS F 2101 W. COMMERCIAL BLVD. SUITE 3500 FORT LAUDERDALE FL 33309 1 1 1 Chief Executive Officer Convertible Debt 0.50 2015-01-31 4 J 0 3540000 0.50 D 2013-02-22 2015-01-31 Common Stock 3540000 0 D Convertible Debt 0.50 2015-01-31 4 J 0 8950000 0.50 D 2013-02-22 2015-01-31 Common Stock 8950000 0 D Convertible Debt 0.25 2015-01-31 4 J 0 4400000 0.25 D 2013-02-22 2015-01-31 Common Stock 4400000 0 D Convertible Debt 0.25 2015-01-31 4 J 0 5760000 0.25 D 2013-02-22 2015-01-31 Common Stock 5760000 0 D Common Stock Warrant 0.60 2015-01-31 4 J 0 3540000 0.60 D 2013-02-22 2015-01-31 Common Stock 3540000 0 D Common Stock Warrant 0.60 2015-01-31 4 J 0 8950000 0.60 D 2013-02-22 2015-01-31 Common Stock 8950000 0 D Common Stock Warrant 0.25 2015-01-31 4 J 0 4400000 0.25 D 2013-02-22 2015-01-31 Common Stock 4400000 0 D Common Stock Warrant 0.25 2015-01-31 4 J 0 5760000 0.25 D 2013-02-22 2015-01-31 Common Stock 5760000 0 D Common Stock Warrant 0.25 2015-01-31 4 J 0 11467517 0.25 D 2013-04-01 2015-01-31 Common Stock 11467517 0 D Common Stock Warrant 0.25 2015-01-31 4 J 0 6400000 0.25 D 2011-12-31 2015-01-31 Common Stock 6400000 0 D Common Stock Warrant 0.25 2015-01-31 4 J 0 2116000 0.25 D 2013-01-01 2015-01-31 Common Stock 2116000 0 D Convertible Debt 0.50 2015-01-31 4 J 0 3540000 0.50 A 2015-01-31 2017-04-01 Common Stock 3540000 3540000 D Convertible Debt 0.50 2015-01-31 4 J 0 8950000 0.50 A 2015-01-31 2017-04-01 Common Stock 8950000 8950000 D Convertible Debt 0.25 2015-01-31 4 J 0 4400000 0.25 A 2015-01-31 2017-04-01 Common Stock 4400000 4400000 D Convertible Debt 0.25 2015-01-31 4 J 0 5760000 0.25 A 2015-01-31 2017-04-01 Common Stock 5760000 5760000 D Common Stock Warrant 0.60 2015-01-31 4 J 0 3540000 0.60 A 2015-01-31 2017-04-01 Common Stock 3540000 3540000 D Common Stock Warrant 0.60 2015-01-31 4 J 0 8950000 0.60 A 2015-01-31 2017-04-01 Common Stock 8950000 8950000 D Common Stock Warrant 0.25 2015-01-31 4 J 0 4400000 0.25 A 2015-01-31 2017-04-01 Common Stock 4400000 4400000 D Common Stock Warrant 0.25 2015-01-31 4 J 0 5760000 0.25 A 2015-01-31 2017-04-01 Common Stock 5760000 5760000 D Common Stock Warrant 0.25 2015-01-31 4 J 0 11440000 0.25 A 2015-01-31 2017-04-01 Common Stock 11440000 11440000 D Common Stock Warrant 0.25 2015-01-31 4 J 0 6400000 0.25 A 2015-01-31 2017-04-01 Common Stock 6400000 6400000 D Common Stock Warrant 0.25 2015-01-31 4 J 0 2116000 0.25 A 2015-01-31 2017-04-01 Common Stock 2116000 2116000 D Common Stock Warrant 0.25 2015-01-31 4 J 0 3800000 0.25 A 2015-01-31 2017-04-01 Common Stock 3800000 3800000 D Deemed cancellation and issuance of replacement security[ies] to extend the exercise period. The Form 4 is being amended to correct the Number of Derivative Securities Acquired (A) or Disposed (D). /s/ Cornelis F. Wit 2015-11-09