0001019687-16-006123.txt : 20160505
0001019687-16-006123.hdr.sgml : 20160505
20160505150156
ACCESSION NUMBER: 0001019687-16-006123
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160502
FILED AS OF DATE: 20160505
DATE AS OF CHANGE: 20160505
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: 1231
BUSINESS ADDRESS:
STREET 1: 400 S. AUSTRALIAN AVENUE, SUITE 800
CITY: WEST PALM BEACH
STATE: FL
ZIP: 33401
BUSINESS PHONE: 561-855-1626
MAIL ADDRESS:
STREET 1: 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: Hollis Sharon Lynne
CENTRAL INDEX KEY: 0001575700
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35141
FILM NUMBER: 161623213
MAIL ADDRESS:
STREET 1: 400 SOUTH AUSTRALIAN AVENUE
STREET 2: 8TH FLOOR
CITY: WEST PALM BEACH
STATE: FL
ZIP: 33401
3
1
hollis_f3-050216.xml
FORM 3
X0206
3
2016-05-02
0
0000931059
Rennova Health, Inc.
RNVA
0001575700
Hollis Sharon Lynne
400 SOUTH AUSTRALIAN AVENUE
SUITE 800
WEST PALM BEACH
FL
33401
0
0
1
0
Common Stock
12290
D
Options to Purchase Common Stock
5.00
2016-05-02
2017-12-31
Common Stock
1000000
D
Options to Purchase Common Stock
10.00
2016-05-02
2022-12-31
Common Stock
1000000
D
/s/ Sharon Lynne Hollis
2016-05-05