SEC Form 4/A · accession 0001437749-17-018959
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).
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Gary A Shangold
Director
Period of report
Nov 7, 2017
Accepted (ET)
Nov 9, 2017 · 6:29 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001034592
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Jun 11, 2015 | A | 120,000 | $0.19 | A | 220,000 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1This transaction was originally reported on Form 4 filed by the Reporting Person on 06/12/2015. The original Form 4 filed reporting this transaction included a footnote describing that the shares were issued pursuant to the terms and conditions of the 2009 Equity Incentive Plan of OmniComm Systems, Inc. and held in escrow to be released ratable over a three year period conditioned upon continued service of the Reporting Person. This report on Form 4/A is filed to reflect that, by written agreement between the Reporting Person and the Issuer dated November 7, 2017 and pursuant to the approval of the board of directors on August 3, 2017, the Issuer amended the terms of these shares and removed the condition of continued service of the Reporting Person for release of the shares, and accordingly the shares were released from escrow to the Reporting Person.