0001493152-17-011774.txt : 20171018 0001493152-17-011774.hdr.sgml : 20171018 20171018162200 ACCESSION NUMBER: 0001493152-17-011774 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171011 FILED AS OF DATE: 20171018 DATE AS OF CHANGE: 20171018 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BLUM GARY L CENTRAL INDEX KEY: 0001161709 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35141 FILM NUMBER: 171142830 MAIL ADDRESS: STREET 1: 3278 WILSHIRE BOULEVARD, SUITE 603 CITY: LOS ANGELES, CALIFORNIA STATE: CA ZIP: 90010 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 3 1 form3.xml X0206 3 2017-10-11 1 0000931059 Rennova Health, Inc. RNVA 0001161709 BLUM GARY L 400 SOUTH AUSTRALIAN AVE., 8TH FLOOR WEST PALM BEACH FL 33401 1 0 0 0 /s/ GARY L BLUM 2017-10-18