0001019687-15-004484.txt : 20151211 0001019687-15-004484.hdr.sgml : 20151211 20151211160707 ACCESSION NUMBER: 0001019687-15-004484 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151102 FILED AS OF DATE: 20151211 DATE AS OF CHANGE: 20151211 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: Diamantis Christopher Eric CENTRAL INDEX KEY: 0001578723 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35141 FILM NUMBER: 151283337 MAIL ADDRESS: STREET 1: 400 SOUTH AUSTRALIAN AVENUE STREET 2: 8TH FLOOR CITY: WEST PALM BEACH STATE: FL ZIP: 33401 3 1 dimantis_frm3.xml FORM 3 X0206 3 2015-11-02 0 0000931059 Rennova Health, Inc. RNVA 0001578723 Diamantis Christopher Eric 400 S. AUSTRALIAN AVENUE, 8TH FLOOR WEST PALM BEACH FL 33401 1 0 0 0 Common Stock 348193 D Options to Purchase Common Stock 6.11 2015-11-02 2017-04-19 Common Stock 40963 D Options to Purchase Common Stock 6.11 2015-11-02 2017-04-19 Common Stock 20481 D Received in connection with the merger transaction with Medytox Solutions, Inc. ("Medytox"), in exchange for 850,000 shares of Medytox common stock, based upon an exchange ratio of 0.4096377408003329 per share. The options were assumed by Rennova in connection with the merger transaction with Medytox, and reflect the exchange ratio of 0.4096377408003329. /s/ Christopher Eric Diamantis 2015-12-11