0001437749-16-024297.txt : 20160129 0001437749-16-024297.hdr.sgml : 20160129 20160129141125 ACCESSION NUMBER: 0001437749-16-024297 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20160129 DATE AS OF CHANGE: 20160129 SUBJECT COMPANY: 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 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-62199 FILM NUMBER: 161372649 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 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: VAN KESTEREN GUUS CENTRAL INDEX KEY: 0001246994 FILING VALUES: FORM TYPE: SC 13G/A MAIL ADDRESS: STREET 1: 2700 N. MILITARY TRAIL STREET 2: SUITE 210 CITY: BOCA RATON STATE: FL ZIP: 33431 SC 13G/A 1 vank20160129_sc13ga.htm SCHEDULE 13G/A vank20160129_sc13ga.htm

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 


 SCHEDULE 13G

 

UNDER THE SECURITIES EXCHANGE ACT OF 1934

(Amendment No. 8)*

 

 


 

OMNICOMM SYSTEMS, INC.

(Name of Issuer)

 

 


  

Common Stock, par value $.001 per share

(Title of Class of Securities)

 

68212 U 10 4

(CUSIP Number)

 

December 31, 2015

(Date of Event Which Requires Filing of This Statement)

 

 


Check the appropriate box to designate the Rule pursuant to which this Schedule is field:

 

Rule 13d-1(b)

 

Rule 13d-1(c)

 

Rule 13d-1(d)

 

*

 

The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

 

The information required on the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

 

 

 



 
 
 

 

 


SCHEDULE 13G

 

 

  Cusip No. 68212 U 10 4

 

  

 

Page 2 of 5 Pages  

 

(1) 

 

NAME OF REPORTING PERSON

I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (entities only)

 

Guus van Kesteren

not applicable

(2)

 

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (See Instructions)

(a)  ☐        (b)  ☒

 

(3)

 

SEC USE ONLY

 

(4)

 

CITIZENSHIP OR PLACE OF ORGANIZATION

 

    Holland

  

NUMBER OF

SHARES

BENEFICIALLY

OWNED BY

EACH

REPORTING

PERSON

WITH

  

(5)

  

SOLE VOTING POWER

 

    4,147,410 shares of Common Stock

  

(6)

  

SHARED VOTING POWER

 

    0

  

(7)

  

SOLE DISPOSITIVE POWER

 

    4,147,410 shares of Common Stock

  

(8)

  

SHARED DISPOSITIVE POWER

 

    0

(9)

 

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

    4,147,410 shares of Common Stock

(10)

 

CHECK BOX IF AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES  ☐

 

(11)

 

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)

 

    3.2%

(12)

 

TYPE OF REPORTING PERSON

 

    IN

 

 
 

 

 


SCHEDULE 13G

 

Cusip No. 68212 U 10 4

 

Page 3 of 5 Pages

 

ATTACHMENT

 

 

 

                         

Item 1(a).

 

Name of Issuer

  

 

  

 
       
 

 

OmniComm Systems, Inc. (“Issuer”)

  

 

  

 
       

Item 1(b).

 

Address of Issuer’s Principal Executive Offices

  

 

  

 
       
 

 

2101 West Commercial Blvd, Suite 3500, Ft. Lauderdale, FL 33309

  

 

  

 
             
Item 2(a) and 2(b).   Name of Person Filing and Address of Principal Business Office or, if none, Residence        
       
 

 

This Schedule 13G is being filed by Guus van Kesteren, a former director of the Issuer, with a principal business office address of 2700 North Military Trail, Boca Raton, FL 33431.

  

 

  

 
       

Item 2(c).

 

Citizenship

  

 

  

 
       
 

 

Mr. van Kesteren is a citizen of Holland

  

 

  

 
       

Item 2(d).

 

Title of Class of Securities

  

 

  

 
       
 

 

Common Stock, $.001 par value per share

  

 

  

 
       

Item 2(e).

 

CUSIP No.

  

 

  

 
       
 

 

68212 U 10 4

  

 

  

 
     

Item 3.

 

If This Statement is Filed Pursuant to Rules 13d-1(b), or 13d-2(b), Check Whether the Person Filing Is a:

  

 
       
 

 

Not Applicable

  

 

  

 
 
 

 

 

 


SCHEDULE 13G

 

Cusip No. 68212 U 10 4

 

Page 4 of 5 Pages

 

Item 4.

  

Ownership

  

 

  

 
       
 

  

Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.

         
 

  

(a)

  

Amount Beneficially Owned:

  

 

  

 
         
 

  

 

  

4,147,410 shares of Common Stock.

  

 

  

 
         
 

  

(b)

  

Percent of Class:

  

 

  

 
         
 

  

 

  

3.2% on the Date of Event Which Requires Filing of this Statement.

  

 

  

 
         
 

  

(c)

  

Number of shares as to which such person has:

  

 

  

 
           
 

  

 

  

(i)

  

Sole power to vote or to direct the vote

  

 

  

 
           
 

  

 

  

 

  

4,147,410 shares

  

 

  

 
           
 

  

 

  

(ii)

  

Shared power to vote or to direct the vote

  

 

  

 
           
 

  

 

  

 

  

0

  

 

  

 
           
 

  

 

  

(iii)

  

Sole power to dispose or to direct the disposition of

  

 

  

 
           
 

  

 

  

 

  

4,147,410 shares

  

 

  

 
           
 

  

 

  

(iv)

  

Shared power to dispose or to direct the disposition of

  

 

  

 
           
 

  

 

  

 

  

0

  

 

  

 
     

Item 5.

  

Ownership of Five Percent or Less of a Class

  

 
     
 

  

If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following [X]

  

 
       

Item 6.

  

Ownership of More Than Five Percent on Behalf of Another Person

  

 

  

 
       
 

  

Other than as set forth herein, no other person has the right to receive or the power to direct the receipt of dividends from, or proceeds from the sale of, in excess of 5% of the total outstanding Common Stock.

  

 

  

 
   

Item 7.

  

Identification and Classification of the Subsidiary Which Acquired the Security BeingReported on by the Parent Holding Company

   
 

  

Not Applicable.

       

Item 8.

  

Identification and Classification of Members of the Group

  

 

  

 
       
 

  

Not Applicable.

  

 

  

 
       

Item 9.

  

Notice of Dissolution of Group

  

 

  

 
       
 

  

Not Applicable.

  

 

  

 
       

Item 10.

  

Certifications

  

 

  

 

 

 
 

 

 


SCHEDULE 13G

 

Cusip No. 68212 U 10 4

 

Page 5 of 5 Pages

 

 

 

  

By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.

  

 

  

 

SIGNATURE

 

After reasonable inquiry and to the best of the undersigned’s knowledge and belief, the undersigned certifies that the information set forth in this statement is true, complete and correct.

 

Date: January 29, 2016

 

/s/ Guus van Kesteren

Guus van Kesteren