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