|4/AJan 4, 2:35 PM ET

Howells Keith L 4/A

4/A · OMNICOMM SYSTEMS INC · Filed Jan 4, 2019

Insider Transaction Report

Form 4/AAmended
Period: 2018-12-27
Howells Keith L
Chief Technology Officer
Transactions
  • Exercise Out-of-Money

    Common Stock Warrant

    2018-12-27$0.03/sh1,000,000$30,0000 total
    Exercise: $0.25From: 2015-11-23Exp: 2019-01-01Common Stock (1,000,000 underlying)
  • Exercise Out-of-Money

    Common Stock

    2018-12-27$0.25/sh+1,000,000$250,0002,361,000 total
Footnotes (2)
  • [F1]On December 27, 2018, OmniComm Systems Inc. (the "Company") issued 1,000,000 shares of common stock to Mr. Howells upon the cash exercise of Warrants at an exercise price of $0.25.
  • [F2]The original Form 4, filed on December 27, 2018, is being amended by this Form 4 amendment solely to correct an administrative error relating to the transaction codes reported in Box 3 of Table I and Box 4 of Table II. This corrected Form 4 reflects the correct transaction codes of O.

Documents

1 file
  • 4
    rdgdoc.xml

    FORM 4/A