OMNICOMM SYSTEMS INC·5/A

Mar 25, 2:22 PM ET

LINARES RONALD T 5/A

5/A · OMNICOMM SYSTEMS INC · Filed Mar 25, 2013

Insider Transaction Report

Form 5/AAmended
Period: 2012-12-31
Transactions
  • Other

    Convertible Debenture

    2012-01-01$0.50/sh250,000$125,0000 total
    Exercise: $0.50From: 2008-12-16Exp: 2013-12-16Common Stock (250,000 underlying)
  • Other

    Common Stock Warrant

    2012-01-01$0.50/sh250,000$125,0000 total
    Exercise: $0.50From: 2008-12-16Exp: 2013-12-16Common Stock (250,000 underlying)
Footnotes (1)
  • [F1]On January 1, 2012, the Reporting Person assigned a Convertible Note of the Issuer dated December 16, 2008 in the amount of $125,000 convertible into 250,000 shares of common stock of the Issuer and warrants convertible into 250,000 shares of common stock of the Issuer at an exercise price of $0.50 with an expiration date of December 16, 2013 to Cornelis F. Wit, CEO and Director of the Issuer. As part of the assignment from Mr. Linares to Mr. Wit, a personal promissory note from Mr. Linares to Mr. Wit in the amount of $100,000 was deemed fully satisfied. In addition, the transaction was part of a business relationship with Mr. Wit involving numerous other transactions unrelated to the Issuer and the Issuer's securities which in the aggregate the Reporting Person is not able to quantify the consideration paid for the securities.

Documents

1 file
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