0001019687-16-006126.txt : 20160505
0001019687-16-006126.hdr.sgml : 20160505
20160505154810
ACCESSION NUMBER: 0001019687-16-006126
CONFORMED SUBMISSION TYPE: 4
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: Adams Jason
CENTRAL INDEX KEY: 0001548700
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35141
FILM NUMBER: 161623457
MAIL ADDRESS:
STREET 1: 4700 SANTA DEL RAE AVENUE
CITY: FT MYERS
STATE: FL
ZIP: 33901
4
1
adams_frm4.xml
FORM 4
X0306
4
2016-05-02
0
0000931059
Rennova Health, Inc.
RNVA
0001548700
Adams Jason
400 SOUTH AUSTRALIAN AVENUE
8TH FLOOR
WEST PALM BEACH
FL
33401
0
1
0
0
Chief Financial Officer
Options to Purchase Common Stock
1.00
2016-05-02
4
A
0
300000
0
A
2026-05-02
Common Stock
300000
300000
D
The options vest as follows: 100,000 upon date of grant, 100,000 on December 31, 2016, and 100,000 on December 31, 2017.
/s/ Jason Adams
2016-05-05