0001437749-19-018729.txt : 20190919
0001437749-19-018729.hdr.sgml : 20190919
20190919165306
ACCESSION NUMBER: 0001437749-19-018729
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190918
FILED AS OF DATE: 20190919
DATE AS OF CHANGE: 20190919
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Howells Keith L
CENTRAL INDEX KEY: 0001708423
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-25203
FILM NUMBER: 191102142
MAIL ADDRESS:
STREET 1: 2101 W. COMMERCIAL BLVD #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
2019-09-18
1
0001034592
OMNICOMM SYSTEMS INC
OMCM
0001708423
Howells Keith L
2101 W. COMMERCIAL BLVD.
SUITE 3500
FORT LAUDERDALE
FL
33309
1
Chief Technology Officer
Common Stock
2436000
D
Common Stock
2019-09-18
4
D
0
2436000
D
0
D
In connection with the merger of Issuer and a subsidiary of Anju Software, Inc. (the "Merger") pursuant to an agreement and plan of merger dated July 15, 2019, all shares of Issuer common stock were canceled and automatically converted into the right to receive $0.41032 per share in cash, without interest and less any applicable withholding taxes.
/s/ Keith L. Howells
2019-09-19