0001493152-17-009525.txt : 20170817
0001493152-17-009525.hdr.sgml : 20170817
20170817113634
ACCESSION NUMBER: 0001493152-17-009525
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170815
FILED AS OF DATE: 20170817
DATE AS OF CHANGE: 20170817
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ajami Kamran
CENTRAL INDEX KEY: 0001703668
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35141
FILM NUMBER: 171038018
MAIL ADDRESS:
STREET 1: 3920 NW 43RD ST.
CITY: COCONUT CREEK
STATE: FL
ZIP: 33073
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Rennova Health, Inc.
CENTRAL INDEX KEY: 0000931059
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-TESTING LABORATORIES [8734]
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
4
1
form4.xml
X0306
4
2017-08-15
0
0000931059
Rennova Health, Inc.
RNVA
0001703668
Ajami Kamran
400 S. AUSTRALIAN AVE., SUITE 800
WEST PALM BEACH
FL
33401
1
0
0
0
Restricted Stock
2017-08-15
4
A
0
100000
0
A
100000
D
Common Stock
19240
D
The grant of restricted stock of Rennova Health, Inc. (the "Company") vests in full on August 15, 2018, subject to the reporting person's continuing to be a director of the Company.
/s/ Kamran Ajami
2017-08-17