0001437749-15-020238.txt : 20151110
0001437749-15-020238.hdr.sgml : 20151110
20151109160326
ACCESSION NUMBER: 0001437749-15-020238
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20151015
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: 151215563
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
2015-10-15
2015-10-19
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
Common Stock Warrant
0.25
2015-10-15
4
J
0
11440000
0.25
D
2015-01-31
2015-10-15
Common Stock
11440000
0
D
Common Stock Warrant
0.25
2015-10-15
4
J
0
6400000
0.25
D
2015-01-31
2015-10-15
Common Stock
6400000
0
D
Common Stock Warrant
0.25
2015-10-15
4
J
0
2116000
0.25
D
2015-01-31
2015-10-15
Common Stock
2116000
0
D
Common Stock Warrant
0.25
2015-10-15
4
J
0
3920000
0.25
D
2014-01-01
2015-10-15
Common Stock
3920000
0
D
Common Stock Warrant
0.25
2015-10-15
4
J
0
3800000
0.25
D
2015-01-31
2015-10-15
Common Stock
3800000
0
D
Common Stock Warrant
0.25
2015-10-15
4
J
0
11440000
0.25
A
2015-10-15
2019-01-01
Common Stock
11440000
11440000
D
Common Stock Warrant
0.25
2015-10-15
4
J
0
6400000
0.25
A
2015-10-15
2019-01-01
Common Stock
6400000
6400000
D
Common Stock Warrant
0.25
2015-10-15
4
J
0
2116000
0.25
A
2015-10-15
2019-01-01
Common Stock
2116000
2116000
D
Common Stock Warrant
0.25
2015-10-15
4
J
0
3920000
0.25
A
2015-10-15
2019-01-01
Common Stock
3920000
3920000
D
Common Stock Warrant
0.25
2015-10-15
4
J
0
3800000
0.25
A
2015-10-15
2019-01-01
Common Stock
3800000
3800000
D
Deemed cancellation and issuance of replacement security[ies] to extend the exercise period.
This Form 4 is being amended to correct the number of Derivative Securities Acquired (A) or Disposed (D).
/s/ Cornelis F. Wit
2015-11-09