0001019687-16-006207.txt : 20160511 0001019687-16-006207.hdr.sgml : 20160511 20160511130250 ACCESSION NUMBER: 0001019687-16-006207 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160502 FILED AS OF DATE: 20160511 DATE AS OF CHANGE: 20160511 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: Goldberg Michael Louis CENTRAL INDEX KEY: 0001370616 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35141 FILM NUMBER: 161639126 MAIL ADDRESS: STREET 1: 2008 BAYVIEW DRIVE CITY: FORT LAUDERDALE STATE: FL ZIP: 33305 4 1 goldberg_f4.xml FORM 4 X0306 4 2016-05-02 0 0000931059 Rennova Health, Inc. RNVA 0001370616 Goldberg Michael Louis 400 S. AUSTRALIAN AVE., SUITE 800 WEST PALM BEACH FL 33401 1 0 0 0 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, and 200,000 on December 31, 2016. /s/ Michael L. Goldberg 2016-05-11