0001437749-11-007311.txt : 20111004 0001437749-11-007311.hdr.sgml : 20111004 20111004143723 ACCESSION NUMBER: 0001437749-11-007311 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110930 FILED AS OF DATE: 20111004 DATE AS OF CHANGE: 20111004 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SMITH RANDALL G CENTRAL INDEX KEY: 0001161696 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25203 FILM NUMBER: 111123042 ISSUER: 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 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 4 1 rdgdoc.xml PRIMARY DOCUMENT X0304 4 2011-09-30 0001034592 OMNICOMM SYSTEMS INC OMCM 0001161696 SMITH RANDALL G 2101 W. COMMERCIAL BLVD. SUITE 3500 FORT LAUDERDALE FL 33309 1 1 Chief Technology Officer Common Stock 2011-09-30 4 P 0 10000 0.10 A 1737147 D /s/ Randall G. Smith 2011-10-01