0001019687-15-004026.txt : 20151112
0001019687-15-004026.hdr.sgml : 20151112
20151112082826
ACCESSION NUMBER: 0001019687-15-004026
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20151102
FILED AS OF DATE: 20151112
DATE AS OF CHANGE: 20151112
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Medytox Solutions, Inc.
CENTRAL INDEX KEY: 0001374536
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-TESTING LABORATORIES [8734]
IRS NUMBER: 900902741
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 400 S. AUSTRALIAN AVENUE, SUITE 800
CITY: WEST PALM BEACH
STATE: FL
ZIP: 33401
BUSINESS PHONE: 561-855-1626
MAIL ADDRESS:
STREET 1: 400 S. AUSTRALIAN AVENUE, SUITE 800
CITY: WEST PALM BEACH
STATE: FL
ZIP: 33401
FORMER COMPANY:
FORMER CONFORMED NAME: CASINO PLAYERS, INC.
DATE OF NAME CHANGE: 20060905
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SIMMONS JACE
CENTRAL INDEX KEY: 0001284647
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-54346
FILM NUMBER: 151221635
MAIL ADDRESS:
STREET 1: 400 SOUTH AUSTRALIAN AVENUE
STREET 2: 8TH FLOOR
CITY: WEST PALM BEACH
STATE: X1
ZIP: 33401
4
1
simmons_frm4.xml
FORM 4
X0306
4
2015-11-02
1
0001374536
Medytox Solutions, Inc.
MMMS
0001284647
SIMMONS JACE
400 S. AUSTRALIAN AVENUE, SUITE 800
WEST PALM BEACH
FL
33401
0
0
1
0
Common Stock
2015-11-02
4
D
0
1030000
D
0
D
Options to Purchase Common Stock
2.50
2015-11-02
4
D
0
1000000
D
2012-10-01
2017-12-31
Common Stock
1000000
0
D
Options to Purchase Common Stock
5.00
2015-11-02
4
D
0
1000000
D
2012-10-01
2017-12-31
Common Stock
1000000
0
D
Options to Purchase Common Stock
10.00
2015-11-02
4
D
0
1000000
D
2012-10-01
2017-12-31
Common Stock
1000000
0
D
Disposed of pursuant to merger agreement among Medytox Solutions, Inc. ("Medytox"), CollabRx Merger Sub, Inc. ("Merger Sub"), and Rennova Health, Inc. ("Rennova") (f/k/a/ CollabRx, Inc.) in exchange for 421,927 shares of Rennova common stock.
Cancelled pursuant to merger agreement and related transactions among Medytox, Merger Sub and Rennova.
/s/ Jace Simmons
2015-11-12