0001437749-11-009817.txt : 20111228
0001437749-11-009817.hdr.sgml : 20111228
20111228150925
ACCESSION NUMBER: 0001437749-11-009817
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20111228
FILED AS OF DATE: 20111228
DATE AS OF CHANGE: 20111228
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Johnson Stephen Eric
CENTRAL INDEX KEY: 0001376218
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-25203
FILM NUMBER: 111283802
MAIL ADDRESS:
STREET 1: 2101 WEST COMMERCIAL BLVD.
STREET 2: SUITE 4000
CITY: FORT LAUDERDALE
STATE: FL
ZIP: 33309
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
2011-12-28
0001034592
OMNICOMM SYSTEMS INC
OMCM
0001376218
Johnson Stephen Eric
2101 W. COMMERCIAL BLVD.
SUITE 4000
FORT LAUDERDALE
FL
33309
1
President
Common Stock
2011-12-28
4
P
0
10000
0.05
A
138586
D
/s/ Stephen Johnson
2011-12-28