SEC Form 4 · accession 0001437749-18-013322
OMNICOMM SYSTEMS INC · OMCM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Cornelis F Wit
Officer — Executive Chairman · Director · 10% Owner
Period of report
Jul 12, 2018
Accepted (ET)
Jul 13, 2018 · 7:11 pm EDT
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 Stock | Jul 12, 2018 | J | 183,334 | $0.00 | D | 0 | D | |
| Common StockF1 | Jul 12, 2018 | J | 183,334 | $0.00 | A | 49,908,050 | I | Trust |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The shares previously held by the Reporting Person directly were transferred for no consideration into the Cornelis F. Wit Revocable Living Trust Dated October 15, 2009 as Amended and Restated on June 11, 2015 (the "Trust"). The Trust is a revocable trust established by the Reporting Person as grantor with respect to which the Reporting Person is the sole trustee, and the Reporting Person, his spouse and children are beneficiaries, and, as a result, the Reporting Person may be deemed to have retained beneficial ownership of such shares. The contribution of such shares to the Trust was a change in form of beneficial ownership that was exempt from Section 16 by reason of Rule 16a-13.