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