0001019687-16-004773.txt : 20160111 0001019687-16-004773.hdr.sgml : 20160111 20160111173419 ACCESSION NUMBER: 0001019687-16-004773 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20151102 FILED AS OF DATE: 20160111 DATE AS OF CHANGE: 20160111 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: The Shanovan Trust CENTRAL INDEX KEY: 0001635069 STATE OF INCORPORATION: C5 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35141 FILM NUMBER: 161337158 BUSINESS ADDRESS: STREET 1: SUITE 1040 STREET 2: SAFFREY SQUARE BANK LANE CITY: NASSAU STATE: C5 ZIP: 00000 BUSINESS PHONE: 000-000-0000 MAIL ADDRESS: STREET 1: SUITE 1040 STREET 2: SAFFREY SQUARE BANK LANE CITY: NASSAU STATE: C5 ZIP: 00000 FORMER NAME: FORMER CONFORMED NAME: Shanovan Trust DATE OF NAME CHANGE: 20150226 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Epizon Ltd. CENTRAL INDEX KEY: 0001638320 STATE OF INCORPORATION: C5 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35141 FILM NUMBER: 161337159 BUSINESS ADDRESS: STREET 1: SUITE 104A, SAFFREY SQUARE, BANK LANE STREET 2: PO BOX N-9306 CITY: NASSAU STATE: C5 ZIP: 000000 BUSINESS PHONE: 561-862-4000 MAIL ADDRESS: STREET 1: SUITE 104A, SAFFREY SQUARE, BANK LANE STREET 2: PO BOX N-9306 CITY: NASSAU STATE: C5 ZIP: 000000 FORMER NAME: FORMER CONFORMED NAME: Epizon, Ltd. DATE OF NAME CHANGE: 20150331 3 1 epizon_frm3.xml FORM 3 X0206 3 2015-11-02 0 0000931059 Rennova Health, Inc. RNVA 0001638320 Epizon Ltd. SUITE 104A, SAFFREY SQUARE, BANK LANE PO BOX N-9306 NASSAU C5 000000 BAHAMAS 0 0 1 0 0001635069 The Shanovan Trust SUITE 104A, SAFFREY SQUARE, BANK LANE PO BOX N-9306 NASSAU, BAHAMAS C5 000000 BAHAMAS 0 0 1 0 Common Stock 1884334 D Series B Convertible Preferred Stock 1000 D Received in connection with the merger transaction with Medytox Solutions, Inc. ("Medytox"), in exchange for 4,600,000 shares of Medytox common stock, based upon an exchange ratio of 0.4096377408003329 per share. Received in connection with the merger transaction with Medytox in exchange for 1,000 shares of Medytox Series B Preferred Stock. Exhibit List - Exhibit 99 - Joint Filer Information Epizon Ltd., By: /s/ P. Wilhelm F. Toothe, trustee of The Shanoven Trust 2016-01-11 The Shanoven Trust, By: /s/ P. Wilhelm F. Toothe, trustee 2016-01-11 EX-99 2 frm3-ex99.htm FORM 3 - JOINT FILER INFORMATION

EXHIBIT 99

 

Form 3 - Joint Filer Information

 

Name: The Shanoven Trust
   
Address:

Suite 104A, Saffrey Square, Bank Lane

PO Box N-9306

  Nassau, Bahamas
   
Designated Filer: Epizon Ltd.
   
Issuer & Ticker Symbol: Rennova Health, Inc. (RNVA)
   
Date of Earliest Transaction  
Required to be Reported  
(Month/Day/Year): November  2, 2015
   
Relationship of Reporting Person to Issuer: 10% Owner
   
Individual or Joint/Group Filing: Form filed by More than One Reporting Person
   
Signature: The Shanoven Trust
   
  By: /s/ P. Wilhelm F. Toothe, trustee