SEC Form 4/A · accession 0001437749-15-020238

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

Officer — Chief Executive Officer · Director · 10% Owner

Period of report

Oct 15, 2015

Accepted (ET)

Nov 9, 2015 · 4:03 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.

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Common Stock Warrant^F2	$0.25	Oct 15, 2015	J	11,440,000	D	Jan 31, 2015	Oct 15, 2015	Common Stock	11,440,000	0	D
Common Stock Warrant^F2	$0.25	Oct 15, 2015	J	6,400,000	D	Jan 31, 2015	Oct 15, 2015	Common Stock	6,400,000	0	D
Common Stock Warrant^F2	$0.25	Oct 15, 2015	J	2,116,000	D	Jan 31, 2015	Oct 15, 2015	Common Stock	2,116,000	0	D
Common Stock Warrant^F2	$0.25	Oct 15, 2015	J	3,920,000	D	Jan 1, 2014	Oct 15, 2015	Common Stock	3,920,000	0	D
Common Stock Warrant^F2	$0.25	Oct 15, 2015	J	3,800,000	D	Jan 31, 2015	Oct 15, 2015	Common Stock	3,800,000	0	D
Common Stock Warrant^F2	$0.25	Oct 15, 2015	J	11,440,000	A	Oct 15, 2015	Jan 1, 2019	Common Stock	11,440,000	11,440,000	D
Common Stock Warrant^F2	$0.25	Oct 15, 2015	J	6,400,000	A	Oct 15, 2015	Jan 1, 2019	Common Stock	6,400,000	6,400,000	D
Common Stock Warrant^F2	$0.25	Oct 15, 2015	J	2,116,000	A	Oct 15, 2015	Jan 1, 2019	Common Stock	2,116,000	2,116,000	D
Common Stock Warrant^F2	$0.25	Oct 15, 2015	J	3,920,000	A	Oct 15, 2015	Jan 1, 2019	Common Stock	3,920,000	3,920,000	D
Common Stock Warrant^F2	$0.25	Oct 15, 2015	J	3,800,000	A	Oct 15, 2015	Jan 1, 2019	Common Stock	3,800,000	3,800,000	D

F1Deemed cancellation and issuance of replacement security[ies] to extend the exercise period.
F2This Form 4 is being amended to correct the number of Derivative Securities Acquired (A) or Disposed (D).