0001437749-19-006407.txt : 20190402 0001437749-19-006407.hdr.sgml : 20190402 20190402164720 ACCESSION NUMBER: 0001437749-19-006407 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190329 FILED AS OF DATE: 20190402 DATE AS OF CHANGE: 20190402 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cohen Adam F. CENTRAL INDEX KEY: 0001592382 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25203 FILM NUMBER: 19725698 MAIL ADDRESS: STREET 1: 2101 WEST COMMERICAL BLVD STREET 2: SUITE 3500 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: 2101 W COMMERCIAL BLVD. STREET 2: SUITE 3500 CITY: FORT LAUDERDALE STATE: FL ZIP: 33309 BUSINESS PHONE: 954-473-1254 MAIL ADDRESS: STREET 1: 2101 W COMMERCIAL BLVD. STREET 2: SUITE 3500 CITY: FORT LAUDERDALE STATE: FL ZIP: 33309 FORMER COMPANY: FORMER CONFORMED NAME: CORAL DEVELOPMENT CORP DATE OF NAME CHANGE: 19970225 4 1 rdgdoc.xml FORM 4 X0306 4 2019-03-29 0001034592 OMNICOMM SYSTEMS INC OMCM 0001592382 Cohen Adam F. 2101 W. COMMERCIAL BLVD. SUITE 3500 FORT LAUDERDALE FL 33309 1 Common Stock 2019-03-29 4 D 0 75000 0 D 1255000 D On September 6, 2018, the reporting person was granted a performance-based restricted share award by the Company, and the number of shares subject to the award was previously reported in Table I of Form 4 filed on September 10, 2018. On March 29, 2019, the Company determined that, based on the Company's 2018 performance, these restricted shares did not vest and are forfeited as the performance goals associated with the restricted share grant were not achieved. /s/ Adam F. Cohen 2019-04-02