SEC Form 4 · accession 0001437749-16-034709
OMNICOMM SYSTEMS INC · OMCM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Cornelis F Wit
Officer — Chief Executive Officer · Director · 10% Owner
Period of report
Jun 30, 2016
Accepted (ET)
Jul 1, 2016 · 9:55 am 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Common Stock Warrant | $0.60 | Jun 30, 2016 | J | 3,540,000 | D | Jan 31, 2015 | Jun 30, 2016 | Common Stock | 3,540,000 | 0 | D |
| Convertible Debt | $0.50 | Jun 30, 2016 | J | — | D | Jan 31, 2015 | Jun 30, 2016 | Common Stock | 3,540,000 | 0 | D |
| Common Stock Warrant | $0.60 | Jun 30, 2016 | J | 3,540,000 | A | Jun 30, 2016 | Apr 1, 2020 | Common Stock | 3,540,000 | 3,540,000 | D |
| Convertible Debt | $0.50 | Jun 30, 2016 | J | — | A | Jun 30, 2016 | Apr 1, 2020 | Common Stock | 3,540,000 | — | D |
| Common Stock Warrant | $0.60 | Jun 30, 2016 | J | 8,110,000 | D | Jan 31, 2015 | Jun 30, 2016 | Common Stock | 8,110,000 | 0 | D |
| Convertible Debt | $0.50 | Jun 30, 2016 | J | — | D | Jan 31, 2015 | Jun 30, 2016 | Common Stock | 8,110,000 | 0 | D |
| Common Stock Warrant | $0.60 | Jun 30, 2016 | J | 8,110,000 | A | Jun 30, 2016 | Apr 1, 2020 | Common Stock | 8,110,000 | 8,110,000 | D |
| Convertible Debt | $0.50 | Jun 30, 2016 | J | — | A | Jun 30, 2016 | Apr 1, 2020 | Common Stock | 8,110,000 | — | D |
Explanation of responses
- F1Deemed cancellation and issuance of replacement security[ies] to extend the exercise period.