0001683168-16-000115.txt : 20160914 0001683168-16-000115.hdr.sgml : 20160914 20160914174548 ACCESSION NUMBER: 0001683168-16-000115 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20160717 FILED AS OF DATE: 20160914 DATE AS OF CHANGE: 20160914 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Alcimede LLC CENTRAL INDEX KEY: 0001595815 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35141 FILM NUMBER: 161885903 BUSINESS ADDRESS: STREET 1: 400 S. AUSTRALIAN AVE #800 CITY: WEST PALM BEACH STATE: FL ZIP: 33401 BUSINESS PHONE: 561-855-1626 MAIL ADDRESS: STREET 1: 400 S. AUSTRALIAN AVE #800 CITY: WEST PALM BEACH STATE: FL ZIP: 33401 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lagan Seamus CENTRAL INDEX KEY: 0001588135 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35141 FILM NUMBER: 161885904 MAIL ADDRESS: STREET 1: 400 SOUTH AUSTRALIAN AVENUE STREET 2: 8TH FLOOR CITY: WEST PALM BEACH STATE: FL ZIP: 33401 4 1 lagan_f4.xml FORM 4 X0306 4 2016-07-17 0 0000931059 Rennova Health, Inc. RNVA 0001588135 Lagan Seamus 400 S. AUSTRALIAN AVE., SUITE 800 WEST PALM BEACH, FL 33401 1 1 1 0 CEO and President 0001595815 Alcimede LLC 400 S. AUSTRALIAN AVE., SUITE 800 WEST PALM BEACH, FL 33401 0 0 0 1 Affiliated Common Stock 2016-07-17 4 A 0 333334 0.30 A 344234 D Common Stock 2016-07-25 4 J 0 333334 0.30 A 755261 I By: Alcimede LLC Common Stock 2016-08-05 4 J 0 1171667 0.30 A 1926928 I By: Alcimede LLC Options to Purchase Common Stock 0.30 2016-07-17 4 A 0 250000 0 A 2016-07-17 2026-07-17 Common Stock 250000 250000 D Options to Purchase Common Stock 0.30 2016-07-17 4 A 0 250000 0 A 2016-12-31 2026-07-17 Common Stock 250000 250000 D Options to Purchase Common Stock 0.30 2016-07-17 4 A 0 250000 0 A 2017-12-31 2026-07-17 Common Stock 250000 250000 D Options to Purchase Common Stock 0.30 2016-07-17 4 A 0 250000 0 A 2018-12-31 2026-07-17 Common Stock 250000 250000 D Options to Purchase Common Stock 0.30 2016-07-17 4 A 0 500000 0 A 2026-07-17 Common Stock 500000 500000 D Options to Purchase Common Stock 0.30 2016-07-17 4 A 0 500000 0 A 2026-07-17 Common Stock 500000 500000 D Alcimede LLC received the shares in lieu of a $100,000 cash payment for services rendered. Alcimede LLC received the shares in exchange for the cancellation of outstanding debt. The options become first exercisable upon the Issuer attaining $75 million in gross revenue in any of the Issuer's three fiscal years from the date of grant through December 31, 2018. The options become first exercisable upon the Issuer attaining a $100 million market capitalization at any time during the three year period ending July 17, 2019. Exhibit List - Exhibit 99 - Joint Filer Information /s/ Seamus Lagan 2016-09-14 Alcimede LLC By: /s/ Seamus Lagan, Sole Manager 2016-09-14 EX-99 2 ex99.htm FORM 4 - JOINT FILER INFORMATION

EXHIBIT 99

 

Form 4 - Joint Filer Information

 

Name:   Alcimede LLC  
     
Address:   400 South Australian Avenue, 8th Floor
    West Palm Beach, FL 33401
     
Designated Filer:   Seamus Lagan
     
Issuer & Ticker Symbol:   Rennova Health, Inc. (RNVA)
     
Date of Earliest Transaction    
Required to be Reported    
(Month/Day/Year):   July 17, 2016
     
Relationship of Reporting Person    
to Issuer:   10% Owner
     
Individual or Joint/Group Filing:   Form filed by More than One Reporting Person
     

 

 

Signature: Alcimede LLC

 

By: /s/ Seamus Lagan

      Seamus Lagan, Sole Manager