0001144204-16-140367.txt : 20161219
0001144204-16-140367.hdr.sgml : 20161219
20161219203033
ACCESSION NUMBER: 0001144204-16-140367
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161216
FILED AS OF DATE: 20161219
DATE AS OF CHANGE: 20161219
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: AUTHENTIDATE HOLDING CORP
CENTRAL INDEX KEY: 0000885074
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER INTEGRATED SYSTEMS DESIGN [7373]
IRS NUMBER: 141673067
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0630
BUSINESS ADDRESS:
STREET 1: CONNELL CORPORATE CENTER
STREET 2: 300 CONNELL DRIVE, 5TH FLOOR
CITY: BERKELEY HEIGHTS
STATE: NJ
ZIP: 07922
BUSINESS PHONE: 9087871700
MAIL ADDRESS:
STREET 1: CONNELL CORPORATE CENTER
STREET 2: 300 CONNELL DRIVE, 5TH FLOOR
CITY: BERKELEY HEIGHTS
STATE: NJ
ZIP: 07922
FORMER COMPANY:
FORMER CONFORMED NAME: BITWISE DESIGNS INC
DATE OF NAME CHANGE: 19930328
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Roshan Hanif A
CENTRAL INDEX KEY: 0001664441
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-20190
FILM NUMBER: 162060129
MAIL ADDRESS:
STREET 1: C/O AEON CLINICAL LABORATORIEXS
STREET 2: 2225 CENTENNIAL DRIVE
CITY: GAINESVILLE
STATE: FL
ZIP: 30504
4
1
v455256_4.xml
OWNERSHIP DOCUMENT
X0306
4
2016-12-16
0
0000885074
AUTHENTIDATE HOLDING CORP
ADAT
0001664441
Roshan Hanif A
AUTHENTIDATE HOLDING CORP.
2225 CENTENNIAL DR.
GAINESVILLE
GA
30504
1
1
0
0
Chairman and CEO
Common Stock
2016-12-16
4
A
0
509028
A
844339
D
Represents shares issued pursuant to that certain merger agreement among Authentidate Holding Corp., PeachState Health Management, d/b/a AEON Clinical Laboratories and the other parties named therein, which shares were issued on December 16, 2016. Shares reported as issued in this Form 4 were issued in connection with the satisfaction of certain milestones as set forth in such merger agreement.
/s/ Hanif Roshan
2016-12-19