0001437749-16-034220.txt : 20160622
0001437749-16-034220.hdr.sgml : 20160622
20160622112136
ACCESSION NUMBER: 0001437749-16-034220
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160616
FILED AS OF DATE: 20160622
DATE AS OF CHANGE: 20160622
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: Cohen Adam F.
CENTRAL INDEX KEY: 0001592382
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-25203
FILM NUMBER: 161725973
MAIL ADDRESS:
STREET 1: 2101 WEST COMMERICAL BLVD
STREET 2: SUITE 3500
CITY: FORT LAUDERDALE
STATE: FL
ZIP: 33309
4
1
rdgdoc.xml
FORM 4
X0306
4
2016-06-16
0001034592
OMNICOMM SYSTEMS INC
OMCM
0001592382
Cohen Adam F.
2101 W. COMMERCIAL BLVD.
SUITE 3500
FORT LAUDERDALE
FL
33309
1
Common Stock
2016-06-16
4
A
0
120000
0.19
A
1130000
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 conditioned upon continued service. Dr. Cohen retains voting rights over all the shares while in escrow.
/s/ Adam F. Cohen
2016-06-22