SEC Form 4 · accession 0001683168-16-000090
Rennova Health, Inc. · RNVA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Thomas Francis DO Mendolia
10% Owner
Period of report
Jul 17, 2016
Accepted (ET)
Sep 13, 2016 · 4:29 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000931059
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Options to Purchase Common StockF1 | $0.30 | Jul 17, 2016 | A | 20,000 | A | — | Jul 17, 2026 | Common Stock | 20,000 | 20,000 | D |
Explanation of responses
- F1The options vest as follows: 10,000 on July 17, 2016, 5,000 on September 30, 2016, and 5,000 on December 31, 2016, subject to the Reporting Person's attendance at meetings of the Issuer's scientific advisory committee.