SEC Form 4/A · accession 0001437749-15-020224
OMNICOMM SYSTEMS INC · OMCM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Cornelis F Wit
Officer — Chief Executive Officer · Director · 10% Owner
Period of report
Jan 31, 2015
Accepted (ET)
Nov 9, 2015 · 3:37 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 DebtF2 | $0.50 | Jan 31, 2015 | J | 3,540,000 | D | Feb 22, 2013 | Jan 31, 2015 | Common Stock | 3,540,000 | 0 | D |
| Convertible DebtF2 | $0.50 | Jan 31, 2015 | J | 8,950,000 | D | Feb 22, 2013 | Jan 31, 2015 | Common Stock | 8,950,000 | 0 | D |
| Convertible DebtF2 | $0.25 | Jan 31, 2015 | J | 4,400,000 | D | Feb 22, 2013 | Jan 31, 2015 | Common Stock | 4,400,000 | 0 | D |
| Convertible DebtF2 | $0.25 | Jan 31, 2015 | J | 5,760,000 | D | Feb 22, 2013 | Jan 31, 2015 | Common Stock | 5,760,000 | 0 | D |
| Common Stock WarrantF2 | $0.60 | Jan 31, 2015 | J | 3,540,000 | D | Feb 22, 2013 | Jan 31, 2015 | Common Stock | 3,540,000 | 0 | D |
| Common Stock WarrantF2 | $0.60 | Jan 31, 2015 | J | 8,950,000 | D | Feb 22, 2013 | Jan 31, 2015 | Common Stock | 8,950,000 | 0 | D |
| Common Stock WarrantF2 | $0.25 | Jan 31, 2015 | J | 4,400,000 | D | Feb 22, 2013 | Jan 31, 2015 | Common Stock | 4,400,000 | 0 | D |
| Common Stock WarrantF2 | $0.25 | Jan 31, 2015 | J | 5,760,000 | D | Feb 22, 2013 | Jan 31, 2015 | Common Stock | 5,760,000 | 0 | D |
| Common Stock WarrantF2 | $0.25 | Jan 31, 2015 | J | 11,467,517 | D | Apr 1, 2013 | Jan 31, 2015 | Common Stock | 11,467,517 | 0 | D |
| Common Stock WarrantF2 | $0.25 | Jan 31, 2015 | J | 6,400,000 | D | Dec 31, 2011 | Jan 31, 2015 | Common Stock | 6,400,000 | 0 | D |
| Common Stock WarrantF2 | $0.25 | Jan 31, 2015 | J | 2,116,000 | D | Jan 1, 2013 | Jan 31, 2015 | Common Stock | 2,116,000 | 0 | D |
| Convertible DebtF2 | $0.50 | Jan 31, 2015 | J | 3,540,000 | A | Jan 31, 2015 | Apr 1, 2017 | Common Stock | 3,540,000 | 3,540,000 | D |
| Convertible DebtF2 | $0.50 | Jan 31, 2015 | J | 8,950,000 | A | Jan 31, 2015 | Apr 1, 2017 | Common Stock | 8,950,000 | 8,950,000 | D |
| Convertible DebtF2 | $0.25 | Jan 31, 2015 | J | 4,400,000 | A | Jan 31, 2015 | Apr 1, 2017 | Common Stock | 4,400,000 | 4,400,000 | D |
| Convertible DebtF2 | $0.25 | Jan 31, 2015 | J | 5,760,000 | A | Jan 31, 2015 | Apr 1, 2017 | Common Stock | 5,760,000 | 5,760,000 | D |
| Common Stock WarrantF2 | $0.60 | Jan 31, 2015 | J | 3,540,000 | A | Jan 31, 2015 | Apr 1, 2017 | Common Stock | 3,540,000 | 3,540,000 | D |
| Common Stock WarrantF2 | $0.60 | Jan 31, 2015 | J | 8,950,000 | A | Jan 31, 2015 | Apr 1, 2017 | Common Stock | 8,950,000 | 8,950,000 | D |
| Common Stock WarrantF2 | $0.25 | Jan 31, 2015 | J | 4,400,000 | A | Jan 31, 2015 | Apr 1, 2017 | Common Stock | 4,400,000 | 4,400,000 | D |
| Common Stock WarrantF2 | $0.25 | Jan 31, 2015 | J | 5,760,000 | A | Jan 31, 2015 | Apr 1, 2017 | Common Stock | 5,760,000 | 5,760,000 | D |
| Common Stock WarrantF2 | $0.25 | Jan 31, 2015 | J | 11,440,000 | A | Jan 31, 2015 | Apr 1, 2017 | Common Stock | 11,440,000 | 11,440,000 | D |
| Common Stock WarrantF2 | $0.25 | Jan 31, 2015 | J | 6,400,000 | A | Jan 31, 2015 | Apr 1, 2017 | Common Stock | 6,400,000 | 6,400,000 | D |
| Common Stock WarrantF2 | $0.25 | Jan 31, 2015 | J | 2,116,000 | A | Jan 31, 2015 | Apr 1, 2017 | Common Stock | 2,116,000 | 2,116,000 | D |
| Common Stock WarrantF2 | $0.25 | Jan 31, 2015 | J | 3,800,000 | 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.
- F2The Form 4 is being amended to correct the Number of Derivative Securities Acquired (A) or Disposed (D).