0001437749-12-001633.txt : 20120223 0001437749-12-001633.hdr.sgml : 20120223 20120222181326 ACCESSION NUMBER: 0001437749-12-001633 CONFORMED SUBMISSION TYPE: SC 13D/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20120223 DATE AS OF CHANGE: 20120222 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: WIT CORNELIS F CENTRAL INDEX KEY: 0001238906 FILING VALUES: FORM TYPE: SC 13D/A 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 13D/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-62199 FILM NUMBER: 12631546 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 SC 13D/A 1 wit_sc13da2-021412.htm SCHEDULE 13 D/A (AMENDMENT NO. 2) wit_sc13da2-021412.htm

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 

SCHEDULE 13D
 
Under the Securities Exchange Act of 1934
(Amendment No. 2)1
 

OMNICOMM SYSTEMS, INC.
(Name of Issuer)
 

Common Stock, $0.001 par value
(Title of Class of Securities)
 
68212 U 10 4
(CUSIP Number)
 
Cornelis Wit
2101 W. Commercial Blvd. Suite 3500,
Ft. Lauderdale, FL 33309
(954) 473-1254
(Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications)
 
December 31, 2011
(Date of Event which Requires Filing of This Statement)
 

If the filing person has previously filed a statement on Schedule 13G to report the acquisition which is the subject of this Schedule 13D, and is filing this schedule because of §§ 240.13d-1(e), 240.13d-1(f) or 240.13d-1(g), check the following box:  ¨
 
1
 
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 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
 
13D
  
Page 2 of 4 Pages
 
  1 
Names of reporting person
 
Cornelis Wit
  2
Check the appropriate box if a member of a group
(a)  ¨        (b)  ¨
 
  3
SEC use only
 
  4
Source of funds
     PF
  5
Check box if disclosure of legal proceedings is required pursuant to Items 2(d) or 2(e)  ¨
 
  6
Citizenship or place of organization
 
    Holland
Number of
shares
beneficially
owned by
each
reporting
person
with
  7 
Sole voting power
     69,306,342 shares*
  8
Shared voting power
     -0-
  9
Sole dispositive power
     69,306,342 shares
10
Shared dispositive power
     -0-
11
Aggregate amount beneficially owned by each reporting person
     69,306,342 shares
12
Check box if the aggregate amount in Row (11) excludes shares  ¨
 
13
Percent of class represented by amount in Row (11)
     45.72 %*
14
Type of reporting person     IN


*On _November 30, ,2010 the Reporting Person acquired 250,000 shares of Series D Preferred Stock of the Issuer.  The Series D Preferred Stock are non-registered securities, non-convertible and each share provides the Reporting Person super-voting rights at any meeting of the stockholders of the Issuer and such shares of Series D Preferred Stock will vote together with the common stockholders of the Issuer, provided for the election or removal of directors the shares of Series D Preferred Stock will be voted in the same percentage as all voting shares of common stock voted for each director, in the amount of 400 votes per Series D Preferred Stock equaling an aggregate of 100,000,000 votes. If calculated with 7, 11 and 13 above, sole voting power would equal 169,306,342 votes , aggregate amount beneficially owned by each reporting person would equal 169,306,342 votes and the percent of class represented by the amount in Row 11 would be 67.29%,
 
 
 

 
 
Page 3 of 4 Pages

 
This Amendment No. 2 amends the Schedule 13D originally filed by the Reporting Person with the Commission on December 29, 2008 (the “Original Schedule 13D”) and Amendment No. 1 to the Original Schedule 13D originally filed by the Reporting Person with the Commission on March 2, 2010 (“Amendment No. 1”). The Original Schedule 13D and Amendment No. 1 are collectively referred to as the “Schedule 13D.”
 
All terms used but not defined in this Amendment No. 2 are as defined in the Schedule 13D. The summary descriptions (if any) contained herein of certain agreements and documents are qualified in their entirety by reference to the complete text of such agreements and documents filed as Exhibits hereto or incorporated herein by reference.

 Item 3 of the Schedule 13D is amended and supplemented as follows:

Item 3.
Source and Amount of Funds or Other Consideration
 
On March 31, 2011, the Reporting Person replaced and exchanged certain promissory notes previously issued to the Reporting Person from the Issuer in the aggregate amount of $2,866,879 in exchange for (i) a note of the Issuer in the same amount and (ii) warrants of the Issuer to purchase 11,467,517 shares of common stock of the Issuer at an exercise price of $0.25 per share with an expiration date of March 31, 2016.

The note dated March 31, 2011 replaced the following promissory notes that had been previously acquired by the Reporting Person from the Issuer as an investment in the Issuer with personal funds:

i.           Promissory Note issued on April 13, 2010 for $450,000.00 with a maturity date of December 31, 2010.
ii.           Promissory Note issued on June 29, 2010 for $115,000.00 with a maturity date of December 31, 2010.
iii.           Promissory Note issued on September 30, 2010 for $695,000.00 with a maturity date of December 31, 2010.
iv.           Promissory Note issued on December 31, 2010 for $1,197,500.00 with a maturity date of December 31, 2010.
v.           Promissory Note issued on December 31, 2010 for $409,379.18 with a maturity date of April 01, 2012.

During April to December 2011, the Reporting Person invested in the Issuer with personal funds an aggregate amount of $1,600,000 in exchange for (i) one note in the aggregate amount of $1,600,000 dated December 31, 2011and (ii) warrants of the Issuer to purchase 6,400,000 shares of common stock of the Issuer at an exercise price of $.25 per share.
 
During 2011, Mr. Wit acquired 437,272 shares of common stock in open market transactions at $0.10 per share.
 
 
 

 

 Page 4 of 4 Pages

 
Item 5 of the Schedule 13D is amended and supplemented as follows:
 
Item 5.
Interest in Securities of the Issuer
 
(a)
The aggregate number of securities of the class identified in Item 1 that are beneficially owned by the Reporting Person is 69,306,342 shares. Such amount of shares includes (i) 4,188,825 shares of common stock,  (ii) 1,925,000 shares issuable upon exercise of currently exercisable common stock purchase options, (iii) 40,792,517 shares issuable upon exercise of currently exercisable common stock purchase warrants, and (iv) 22,400,000 shares issuable upon conversion of Convertible Debentures. The foregoing constitutes approximately 45.72% of the outstanding shares of common stock of the Issuer, based on 86,481,495 shares of common stock outstanding as of November 10, 2011 according to the Issuer’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2011, filed with the Securities and Exchange Commission on November 10, 2011. The foregoing and all other amounts of beneficial ownership set forth herein are calculated pursuant to Rule 13d-3 under the Securities Exchange Act of 1934, as amended.
 
(b)
The Reporting Person holds sole voting and dispositive powers over the shares identified in Item 5(a). The Reporting Person does not share voting or dispositive powers over any of such shares.
 
(c)
On March 31, 2011, the Reporting Person replaced and exchanged certain promissory notes previously issued to the Reporting Person from the Issuer in the aggregate amount of $2,866,879 in exchange for (i) a note of the Issuer in the same amount and (ii) warrants of the Issuer to purchase 11,467,517 shares of common stock of the Issuer at an exercise price of $0.25 per share with an expiration date of March 31, 2016.
 
During April to December 2011, the Reporting Person invested in the Issuer an aggregate amount of $1,600,000 in exchange for (i) one note in the aggregate amount of $1,600,000 dated December 31, 2011and (ii) warrants of the Issuer to purchase 6,400,000 shares of common stock of the Issuer at an exercise price of $.25 per share.
 
During 2011, Mr. Wit acquired 437,272 shares of common stock in open market transactions at $0.10 per share. 
 
(d)
The Reporting Person, has the right to receive or the power to direct the receipt of dividends from, or the proceeds from the sale of, the common stock that are the subject of this Schedule 13D.
 
 
SIGNATURE
 
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
 
February 15, 2012    
       
    /s/ Cornelis Wit  
   
Cornelis Wit