SEC Form 4 · accession 0001683168-16-000819
Rennova Health, Inc. · RNVA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Francisco Roca III
10% Owner
Period of report
Sep 21, 2016
Accepted (ET)
Nov 30, 2016 · 8:37 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000931059
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Sep 21, 2016 | C | 1,146,789 | $0.00 | A | 3,739,847 | D | |
| Series B Convertible Preferred StockF1 | Sep 21, 2016 | C | 1,000 | $0.00 | D | 0 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Each share of Series B Convertible Preferred Stock was converted, pursuant to its terms, into 1,146.789 shares of Common Stock.