0001437749-16-034709.txt : 20160701
0001437749-16-034709.hdr.sgml : 20160701
20160701095507
ACCESSION NUMBER: 0001437749-16-034709
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160630
FILED AS OF DATE: 20160701
DATE AS OF CHANGE: 20160701
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
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-25203
FILM NUMBER: 161745066
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
2016-06-30
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
0.60
2016-06-30
4
J
0
3540000
0.60
D
2015-01-31
2016-06-30
Common Stock
3540000
0
D
Convertible Debt
0.50
2016-06-30
4
J
0
1770000
0.50
D
2015-01-31
2016-06-30
Common Stock
3540000
0
D
Common Stock Warrant
0.60
2016-06-30
4
J
0
3540000
0.60
A
2016-06-30
2020-04-01
Common Stock
3540000
3540000
D
Convertible Debt
0.50
2016-06-30
4
J
0
1770000
0.50
A
2016-06-30
2020-04-01
Common Stock
3540000
1770000
D
Common Stock Warrant
0.60
2016-06-30
4
J
0
8110000
0.60
D
2015-01-31
2016-06-30
Common Stock
8110000
0
D
Convertible Debt
0.50
2016-06-30
4
J
0
4055000
0.50
D
2015-01-31
2016-06-30
Common Stock
8110000
0
D
Common Stock Warrant
0.60
2016-06-30
4
J
0
8110000
0.60
A
2016-06-30
2020-04-01
Common Stock
8110000
8110000
D
Convertible Debt
0.50
2016-06-30
4
J
0
4055000
0.50
A
2016-06-30
2020-04-01
Common Stock
8110000
4055000
D
Deemed cancellation and issuance of replacement security[ies] to extend the exercise period.
/s/ Cornelis F. Wit
2016-07-01