0001493152-18-003074.txt : 20180308
0001493152-18-003074.hdr.sgml : 20180308
20180308125444
ACCESSION NUMBER: 0001493152-18-003074
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180306
FILED AS OF DATE: 20180308
DATE AS OF CHANGE: 20180308
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BLUM GARY L
CENTRAL INDEX KEY: 0001161709
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35141
FILM NUMBER: 18675841
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
4
1
form4.xml
X0306
4
2018-03-06
0
0000931059
Rennova Health, Inc.
RNVA
0001161709
BLUM GARY L
400 S. AUSTRALIAN AVE.,
SUITE 800
WEST PALM BEACH
FL
33401
1
0
0
0
Common Stock
2018-03-06
4
A
0
3333333
0
A
3333333
D
Shares granted by Rennova Health, Inc. (the "Company") in connection with the reporting person's service as a director of the Company.
/s/ Gary L. Blum
2018-03-08