0001437749-18-019436.txt : 20181102 0001437749-18-019436.hdr.sgml : 20181102 20181102174642 ACCESSION NUMBER: 0001437749-18-019436 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181028 FILED AS OF DATE: 20181102 DATE AS OF CHANGE: 20181102 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Fontenault John D CENTRAL INDEX KEY: 0001708424 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25203 FILM NUMBER: 181158236 MAIL ADDRESS: STREET 1: 2101 W. COMMERCIAL BLVD #3500 CITY: FORT LAUDERDALE STATE: FL ZIP: 33309 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 4 1 rdgdoc.xml FORM 4 X0306 4 2018-10-28 0001034592 OMNICOMM SYSTEMS INC OMCM 0001708424 Fontenault John D 2101 W. COMMERCIAL BLVD. SUITE 3500 FORT LAUDERDALE FL 33309 1 Chief Operating Officer Common Stock 2018-10-28 4 M 0 34175 0.17 A 309175 D Stock Option 0.17 2018-10-28 4 M 0 100000 0.17 D 2014-10-28 2018-10-28 Common Stock 34175 0 D On October 28, 2013, the Issuer awarded 100,000 employee stock options to the Reporting Person in accordance with Rule 16b-3, which options vested in two annual installments on the first and second anniversary of the grant date. The transactions reported on this Form 4 represent the exercise and conversion of the 100,000 employee stock options exempted pursuant to Rule 16b-3. 50,000 exercisable 10/28/2014 and 50,000 exercisable 10/28/2015 /s/ John D. Fontenault 2018-11-02