SEC Form 4 · accession 0001437749-15-001686
OMNICOMM SYSTEMS INC · OMCM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
Reporting owner
Cornelis F Wit
Officer — Chief Executive Officer · Director · 10% Owner
Period of report
Jan 31, 2015
Accepted (ET)
Feb 3, 2015 · 4:38 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001034592
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Convertible Debt | $0.50 | Jan 31, 2015 | J | — | D | Feb 22, 2013 | Jan 31, 2015 | Common Stock | 3,540,000 | 0 | D |
| Convertible Debt | $0.50 | Jan 31, 2015 | J | — | D | Feb 22, 2013 | Jan 31, 2015 | Common Stock | 8,950,000 | 0 | D |
| Convertible Debt | $0.25 | Jan 31, 2015 | J | — | D | Feb 22, 2013 | Jan 31, 2015 | Common Stock | 4,400,000 | 0 | D |
| Convertible Debt | $0.25 | Jan 31, 2015 | J | — | D | Feb 22, 2013 | Jan 31, 2015 | Common Stock | 5,760,000 | 0 | D |
| Common Stock Warrant | $0.60 | Jan 31, 2015 | J | — | D | Feb 22, 2013 | Jan 31, 2015 | Common Stock | 3,540,000 | 0 | D |
| Common Stock Warrant | $0.60 | Jan 31, 2015 | J | — | D | Feb 22, 2013 | Jan 31, 2015 | Common Stock | 8,950,000 | 0 | D |
| Common Stock Warrant | $0.25 | Jan 31, 2015 | J | — | D | Feb 22, 2013 | Jan 31, 2015 | Common Stock | 4,400,000 | 0 | D |
| Common Stock Warrant | $0.25 | Jan 31, 2015 | J | — | D | Feb 22, 2013 | Jan 31, 2015 | Common Stock | 5,760,000 | 0 | D |
| Common Stock Warrant | $0.25 | Jan 31, 2015 | J | — | D | Apr 1, 2013 | Jan 31, 2015 | Common Stock | 11,467,517 | 0 | D |
| Common Stock Warrant | $0.25 | Jan 31, 2015 | J | — | D | Dec 31, 2011 | Jan 31, 2015 | Common Stock | 6,400,000 | 0 | D |
| Common Stock Warrant | $0.25 | Jan 31, 2015 | J | — | D | Jan 1, 2013 | Jan 31, 2015 | Common Stock | 2,116,000 | 0 | D |
| Convertible Debt | $0.50 | Jan 31, 2015 | J | — | A | Jan 31, 2015 | Apr 1, 2017 | Common Stock | 3,540,000 | 3,540,000 | D |
| Convertible Debt | $0.50 | Jan 31, 2015 | J | — | A | Jan 31, 2015 | Apr 1, 2017 | Common Stock | 8,950,000 | 8,950,000 | D |
| Convertible Debt | $0.25 | Jan 31, 2015 | J | — | A | Jan 31, 2015 | Apr 1, 2017 | Common Stock | 4,400,000 | 4,400,000 | D |
| Convertible Debt | $0.25 | Jan 31, 2015 | J | — | A | Jan 31, 2015 | Apr 1, 2017 | Common Stock | 5,760,000 | 5,760,000 | D |
| Common Stock Warrant | $0.60 | Jan 31, 2015 | J | — | A | Jan 31, 2015 | Apr 1, 2017 | Common Stock | 3,540,000 | 3,540,000 | D |
| Common Stock Warrant | $0.60 | Jan 31, 2015 | J | — | A | Jan 31, 2015 | Apr 1, 2017 | Common Stock | 8,950,000 | 8,950,000 | D |
| Common Stock Warrant | $0.25 | Jan 31, 2015 | J | — | A | Jan 31, 2015 | Apr 1, 2017 | Common Stock | 4,400,000 | 4,400,000 | D |
| Common Stock Warrant | $0.25 | Jan 31, 2015 | J | — | A | Jan 31, 2015 | Apr 1, 2017 | Common Stock | 5,760,000 | 5,760,000 | D |
| Common Stock Warrant | $0.25 | Jan 31, 2015 | J | — | A | Jan 31, 2015 | Apr 1, 2017 | Common Stock | 11,440,000 | 11,440,000 | D |
| Common Stock Warrant | $0.25 | Jan 31, 2015 | J | — | A | Jan 31, 2015 | Apr 1, 2017 | Common Stock | 6,400,000 | 6,400,000 | D |
| Common Stock Warrant | $0.25 | Jan 31, 2015 | J | — | A | Jan 31, 2015 | Apr 1, 2017 | Common Stock | 2,116,000 | 2,116,000 | D |
| Common Stock Warrant | $0.25 | Jan 31, 2015 | J | — | A | Jan 31, 2015 | Apr 1, 2017 | Common Stock | 3,800,000 | 3,800,000 | D |
Explanation of responses
- F1Deemed cancellation and issuance of replacement security[ies] to extend the exercise period.