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