-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Qz8YS7oITEqpXKeOYg9zEDeh6QzN9Vue1bMg626Gs/1YsQnnVgwG/ebTtP/6y3HV NVQUESjopD+Apfkf5CokxA== 0001193125-08-194780.txt : 20080912 0001193125-08-194780.hdr.sgml : 20080912 20080911184218 ACCESSION NUMBER: 0001193125-08-194780 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20080912 DATE AS OF CHANGE: 20080911 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: OMNICOMM SYSTEMS INC CENTRAL INDEX KEY: 0001034592 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 113349762 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-62199 FILM NUMBER: 081068028 BUSINESS ADDRESS: STREET 1: 2555 DAVIE ROAD STREET 2: SUITE 110-B CITY: FORT LAUDERDALE STATE: FL ZIP: 33317 BUSINESS PHONE: 954-473-1254 MAIL ADDRESS: STREET 1: 2555 DAVIE ROAD STREET 2: SUITE 110-B CITY: DAVIE STATE: FL ZIP: 33317 FORMER COMPANY: FORMER CONFORMED NAME: CORAL DEVELOPMENT CORP DATE OF NAME CHANGE: 19970225 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: WIT CORNELIS F CENTRAL INDEX KEY: 0001238906 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: OMNI COMM SYSTEMS INC STREET 2: 2555 DAVIES ROAD STE 110-B CITY: DAVIE STATE: FL ZIP: 33317 BUSINESS PHONE: 9544731254 SC 13G 1 dsc13g.htm SCHEDULE 13G Schedule 13G

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

SCHEDULE 13G

 

UNDER THE SECURITIES EXCHANGE ACT OF 1934

(Amendment No.         )*

 

 

 

 

OMNICOMM SYSTEMS, INC.

(Name of Issuer)

 

 

Common Stock, par value $.001 per share

(Title of Class of Securities)

 

 

68212 U 10 4

(CUSIP Number)

 

 

August 29, 2008

(Date of Event Which Requires Filing of This Statement)

 

Check the appropriate box to designate the Rule pursuant to which this Schedule is filed:

¨ Rule 13d-1(b)

x Rule 13d-1(c)

¨ Rule 13d-1(d)

 

 

* The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

The information required on the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

Cusip No. 68212 U 10 4   SCHEDULE 13G   Page 2 of 5 Pages

 

  (1)  

NAME OF REPORTING PERSON

I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (entities only)

 

            Cornelis Wit

            not applicable

    
  (2)  

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (See Instructions)

(a)  ¨

(b)  x

    
  (3)  

SEC USE ONLY

 

    
  (4)  

CITIZENSHIP OR PLACE OF ORGANIZATION

 

            The Netherlands

    

 

NUMBER OF  

SHARES  

BENEFICIALLY  

OWNED BY  

EACH  

REPORTING  

PERSON  

WITH  

 

  

  (5)    SOLE VOTING POWER

 

            13,117,044 shares of Common Stock*

 

  (6)    SHARED VOTING POWER

 

            0

 

  (7)    SOLE DISPOSITIVE POWER

 

            13,117,044 shares of Common Stock*

 

  (8)    SHARED DISPOSITIVE POWER

 

            0

  (9)  

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

            13,117,044

    
(10)  

CHECK BOX IF AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES

 

 

  

 

¨

(11)  

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)

 

            15.38%

    
(12)  

TYPE OF REPORTING PERSON

 

            IN

    

 

* The Sole Voting Power, Sole Dispositive Power, and the Aggregate Amount Beneficially Owned includes 2,105,000 shares issuable upon conversion of options, 3,840,000 shares issuable upon conversion of Convertible Debentures and 3,540,000 shares issuable upon conversion of warrants.

Cusip No. 68212 U 10 4   SCHEDULE 13G   Page 3 of 5 Pages

ATTACHMENT

 

Item 1  

(a).

    Name of Issuer      
     OmniComm Systems, Inc.      
Item 1  

(b).

    Address of Issuer’s Principal Executive Offices      
     2101 West Commercial Blvd, Suite 4000, Ft. Lauderdale, FL 33309      
Item 2  

(a) and 2(b).

    Name of Person Filing and Address of Principal Business Office or, if none, Residence      
    

This Schedule 13G is being filed by Cornelis Wit, with a principal business office address of 2101 West Commercial Blvd, Suite 4000, Ft. Lauderdale, FL 33309, pursuant to Rule 13d-1(k) of the Securities and Exchange Commission (the “Commission”) pursuant to Section 13 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”).

      
Item 2  

(c).

    Citizenship      
     Mr. Wit is a citizen of the Netherlands.      
Item 2  

(d).

    Title of Class of Securities      
     Common Stock, $.001 par value per share      
Item 2  

(e).

    CUSIP No.      
     68212 U 10 4      
Item 3.   If This Statement is Filed Pursuant to Rules 13d-1(b), or 13d-2(b), Check Whether the Person Filing Is a:   
     Not Applicable      

Cusip No. 68212 U 10 4   SCHEDULE 13G   Page 4 of 5 Pages

 

Item 4.    Ownership      
  

Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.

      
   (a)    Amount Beneficially Owned:      
      13,117,044 shares of Common Stock.      
   (b)    Percent of Class:      
      15.38% on the Date of Event Which Requires Filing of this Statement.      
   (c)    Number of shares as to which such person has:      
      (i)    Sole power to vote or to direct the vote      
         13,117,044 shares*      
      (ii)    Shared power to vote or to direct the vote      
         0      
      (iii)    Sole power to dispose or to direct the disposition of      
         13,117,044 shares*      
      (iv)    Shared power to dispose or to direct the disposition of      
         0      
Item 5.    Ownership of Five Percent or Less of a Class   
  

If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more that five percent of the class of securities, check the following  ¨

   
Item 6.    Ownership of More Than Five Percent on Behalf of Another Person      
  

Other than as set forth herein, no other person has the right to receive or the power to direct the receipt of dividends from, or proceeds from the sale of, in excess of 5% of the total outstanding Common Stock.

      
Item 7.    Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company
   Not Applicable.
Item 8.    Identification and Classification of Members of the Group      
   Not Applicable.      
Item 9.    Notice of Dissolution of Group      
   Not Applicable.      
Item 10.    Certifications      
  

By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.

      

Cusip No. 68212 U 10 4   SCHEDULE 13G   Page 5 of 5 Pages

SIGNATURE

After reasonable inquiry and to the best of the undersigned’s knowledge and belief, the undersigned certifies that the information set forth in this statement is true, complete and correct.

Date: September 10, 2008

 

/s/ Cornelis Wit

Cornelis Wit
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