0001683168-17-001073.txt : 20170502 0001683168-17-001073.hdr.sgml : 20170502 20170502110557 ACCESSION NUMBER: 0001683168-17-001073 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170409 FILED AS OF DATE: 20170502 DATE AS OF CHANGE: 20170502 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: Ajami Kamran CENTRAL INDEX KEY: 0001703668 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35141 FILM NUMBER: 17803480 MAIL ADDRESS: STREET 1: 3920 NW 43RD ST. CITY: COCONUT CREEK STATE: FL ZIP: 33073 3 1 ajami_f3.xml FORM 3 X0206 3 2017-04-09 0 0000931059 Rennova Health, Inc. RNVA 0001703668 Ajami Kamran 400 S. AUSTRALIAN AVE., #800 WEST PALM BEACH FL 33401 1 0 0 0 Common Stock 19240 D Options to Purchase Common Stock 30.00 2016-03-31 2027-03-23 Common Stock 667 D Options to Purchase Common Stock 9.00 2016-07-17 2027-07-17 Common Stock 667 D The options were granted on March 23, 2016 and one quarter become exercisable on each of March 31, 2016, June 30, 2016, September 30, 2016 and December 31, 2016. The options were granted on July 17, 2016. One half vested immediately and one quarter vested on each of September 30, 2016 and December 31, 2016. /s/ Kamran Ajami 2017-05-02