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