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