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