0001437749-19-018757.txt : 20190919 0001437749-19-018757.hdr.sgml : 20190919 20190919180741 ACCESSION NUMBER: 0001437749-19-018757 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190918 FILED AS OF DATE: 20190919 DATE AS OF CHANGE: 20190919 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCHWEITZER ROBERT C CENTRAL INDEX KEY: 0001254385 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25203 FILM NUMBER: 191102384 MAIL ADDRESS: STREET 1: 1441 SW 29TH AVENUE CITY: POMPANO BEACH STATE: FL ZIP: 33069 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 2019-09-18 1 0001034592 OMNICOMM SYSTEMS INC OMCM 0001254385 SCHWEITZER ROBERT C 2101 W. COMMERCIAL BLVD. SUITE 3500 FORT LAUDERDALE FL 33309 1 Common Stock 775000 D Common Stock 2019-09-18 4 D 0 775000 D 0 D Incentive Stock Option 0.25 2019-09-18 4 D 0 250000 0.16 D 2022-03-24 Common Stock 250000 0 D In connection with the merger of Issuer and a subsidiary of Anju Software, Inc. (the "Merger") pursuant to an agreement and plan of merger dated July 15, 2019, all shares of Issuer common stock were canceled and automatically converted into the right to receive $0.41032 per share in cash, without interest and less any applicable withholding taxes. This option, which is fully vested, was canceled pursuant to the Merger in exchange for a cash payment of $40,081, representing the difference between the exercise price of the option and the merger consideration per share ($0.41032) multiplied by the total number of shares underlying the option, less any applicable withholding taxes. /s/ Robert C. Schweitzer 2019-09-19