0001019687-16-006382.txt : 20160518
0001019687-16-006382.hdr.sgml : 20160518
20160518172354
ACCESSION NUMBER: 0001019687-16-006382
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160502
FILED AS OF DATE: 20160518
DATE AS OF CHANGE: 20160518
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: Roca Francisco III
CENTRAL INDEX KEY: 0001575722
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35141
FILM NUMBER: 161661299
MAIL ADDRESS:
STREET 1: 400 SOUTH AUSTRALIAN AVENUE
STREET 2: 8TH FLOOR
CITY: WEST PALM BEACH
STATE: FL
ZIP: 33401
4
1
roca_f4.xml
OWNERSHIP DOCUMENT
X0306
4
2016-05-02
0
0000931059
Rennova Health, Inc.
RNVA
0001575722
Roca Francisco III
400 S. AUSTRALIAN AVENUE, 8TH FLOOR
WEST PALM BEACH
FL
33401
0
0
1
0
Options to Purchase Common Stock
5.00
2016-05-02
4
A
0
1000000
0
A
2016-05-02
2017-12-31
Common Stock
1000000
1000000
D
Options to Purchase Common Stock
10.00
2016-05-02
4
A
0
1000000
0
A
2016-05-02
2022-12-31
Common Stock
1000000
1000000
D
/s/ Francisco Roca, III
2016-05-18