0001548700-16-000004.txt : 20160727 0001548700-16-000004.hdr.sgml : 20160727 20160727172831 ACCESSION NUMBER: 0001548700-16-000004 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160717 FILED AS OF DATE: 20160727 DATE AS OF CHANGE: 20160727 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: Adams Jason CENTRAL INDEX KEY: 0001548700 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35141 FILM NUMBER: 161787733 MAIL ADDRESS: STREET 1: 4700 SANTA DEL RAE AVENUE CITY: FT MYERS STATE: FL ZIP: 33901 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2016-07-17 0 0000931059 Rennova Health, Inc. RNVA 0001548700 Adams Jason 400 SOUTH AUSTRALIAN AVE WEST PALM BEACH FL 33449 0 1 0 0 Chief Financial Officer Common Stock 2016-07-17 4 A 0 166667 0 A 168392 D Options to Purchase Common Stock 0.3 2016-07-17 4 A 0 300000 0 A 2026-07-17 Common Stock 300000 300000 D The options vest as follows: 100,000 upon the date of grant, 100,000 on December 31, 2016, and 100,000 on December 31, 2017. /s/ Jason Adams 2016-07-27