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