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