0001019687-16-007325.txt : 20160822 0001019687-16-007325.hdr.sgml : 20160822 20160822104016 ACCESSION NUMBER: 0001019687-16-007325 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160717 FILED AS OF DATE: 20160822 DATE AS OF CHANGE: 20160822 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: Lee Robert P CENTRAL INDEX KEY: 0001650450 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35141 FILM NUMBER: 161844502 MAIL ADDRESS: STREET 1: 400 S. AUSTRALIAN AVE., #800 CITY: WEST PALM BEACH STATE: FL ZIP: 33134 4 1 lee_f4.xml OWNERSHIP DOCUMENT X0306 4 2016-07-17 0 0000931059 Rennova Health, Inc. RNVA 0001650450 Lee Robert P 400 S. AUSTRALIAN AVE., SUITE 800 WEST PALM BEACH FL 33401 1 0 0 0 Common Stock 2016-08-05 4 J 0 250027 0.30 A 500254 D Options to Purchase Common Stock 0.30 2016-07-17 4 A 0 120000 0 A 2026-07-17 Common Stock 120000 120000 D The Reporting Person received the shares in exchange for the cancellation of outstanding fees and expenses. The options vest as follows: 50,000 on July 17, 2016; 25,000 on September 30, 2016; and 45,000 on December 31, 2016. /s/ Robert P. Lee 2016-08-22