SEC Form 4 · accession 0001437749-15-008489
OMNICOMM SYSTEMS INC · OMCM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Stephen Eric Johnson
Officer — COO & President
Period of report
Apr 30, 2015
Accepted (ET)
Apr 30, 2015 · 4:47 pm EDT
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 | Apr 30, 2015 | J | — | D | Feb 22, 2013 | Apr 30, 2015 | Common Stock | 50,000 | 0 | D |
| Common Stock Warrant | $0.60 | Apr 30, 2015 | J | — | D | Feb 22, 2013 | Apr 30, 2015 | Common Stock | 50,000 | 0 | D |
| Convertible Debt | $0.50 | Apr 30, 2015 | J | — | A | Apr 30, 2015 | Apr 1, 2018 | Common Stock | 50,000 | 50,000 | D |
| Common Stock Warrant | $0.60 | Apr 30, 2015 | J | — | A | Apr 30, 2015 | Apr 1, 2018 | Common Stock | 50,000 | 50,000 | D |
Explanation of responses
- F1Deemed cancellation and issuance of replacement securities to extend the exercise period.