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