0001019687-16-006214.txt : 20160511 0001019687-16-006214.hdr.sgml : 20160511 20160511161642 ACCESSION NUMBER: 0001019687-16-006214 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: Frank Benjamin CENTRAL INDEX KEY: 0001578755 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35141 FILM NUMBER: 161640082 MAIL ADDRESS: STREET 1: 400 SOUTH AUSTRALIAN AVENUE STREET 2: 8TH FLOOR CITY: WEST PALM BEACH STATE: FL ZIP: 33401 4 1 frank_f4.xml FORM 4 X0306 4 2016-05-02 0 0000931059 Rennova Health, Inc. RNVA 0001578755 Frank Benjamin 400 S. AUSTRALIAN AVENUE 8TH FLOOR WEST PALM BEACH FL 33401 1 0 0 0 Options to Purchase Common Stock 1.00 2016-05-02 4 A 0 100000 0 A 2026-05-02 Common Stock 100000 100000 D The options vest as follows: 25,000 upon date of grant, 25,000 on June 30, 2016, 25,000 on September 30, 2016, and 25,000 on December 31, 2016. /s/ Benjamin Frank 2016-05-11