0001019687-15-004030.txt : 20151112 0001019687-15-004030.hdr.sgml : 20151112 20151112135819 ACCESSION NUMBER: 0001019687-15-004030 CONFORMED SUBMISSION TYPE: 3 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: Rennova Health, Inc. CENTRAL INDEX KEY: 0000931059 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROCESSING & DATA PREPARATION [7374] IRS NUMBER: 680370244 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 BUSINESS ADDRESS: STREET 1: 44 MONTGOMERY STREET, SUITE 800 STREET 2: 400 S. AUSTRALIAN AVENUE, SUITE 800 CITY: WEST PALM BEACH STATE: FL ZIP: 33401 BUSINESS PHONE: 561-855-1626 MAIL ADDRESS: STREET 1: 44 MONTGOMERY STREET, SUITE 800 STREET 2: 400 S. AUSTRALIAN AVENUE, SUITE 800 CITY: WEST PALM BEACH STATE: FL ZIP: 33401 FORMER COMPANY: FORMER CONFORMED NAME: CollabRx, Inc. DATE OF NAME CHANGE: 20120926 FORMER COMPANY: FORMER CONFORMED NAME: TEGAL CORP /DE/ DATE OF NAME CHANGE: 19950918 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lee Robert P CENTRAL INDEX KEY: 0001650450 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35141 FILM NUMBER: 151223413 MAIL ADDRESS: STREET 1: 400 S. AUSTRALIAN AVE., #800 CITY: WEST PALM BEACH STATE: FL ZIP: 33134 3 1 lee_frm3.xml FORM 3 X0206 3 2015-11-02 0 0000931059 Rennova Health, Inc. RNVA 0001650450 Lee Robert P 400 S. AUSTRALIAN AVE, #800 WEST PALM BEACH FL 33401 1 0 0 0 Common Stock 245783 D Received in connection with the merger transaction with Medytox Solutions, Inc. ("Medytox"), in exchange for 600,000 shares of Medytox common stock, based upon an exchange ratio of 0.4096377408003329 per share. /s/ Robert P. Lee 2015-11-12