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4//SEC Filing

WIT CORNELIS F 4

Accession 0001437749-19-018774

CIK 0001034592other

Filed

Sep 19, 8:00 PM ET

Accepted

Sep 20, 6:02 AM ET

Size

20.8 KB

Accession

0001437749-19-018774

Insider Transaction Report

Form 4
Period: 2019-09-18
WIT CORNELIS F
DirectorPresident and CEO
Transactions
  • Other

    Common Stock Warrant

    2019-09-18$0.60/sh8,000,000$4,800,0000 total
    Exercise: $0.60From: 2019-06-30Exp: 2023-04-01Common Stock (8,000,000 underlying)
  • Disposition to Issuer

    Common Stock

    2019-09-1852,833,0500 total(indirect: By Trust)
  • Disposition to Issuer

    Series D Preferred Stock

    2019-09-18250,0000 total
  • Other

    Common Stock Warrant

    2019-09-18$0.60/sh110,000$66,0000 total
    Exercise: $0.60From: 2016-06-30Exp: 2020-04-01Common Stock (110,000 underlying)
  • Other

    Common Stock Warrant

    2019-09-18$0.60/sh3,540,000$2,124,0000 total
    Exercise: $0.60From: 2019-06-30Exp: 2023-04-01Common Stock (3,540,000 underlying)
  • Disposition to Issuer

    Common Stock

    2019-09-18200,0000 total
  • Other

    Convertible Debt

    2019-09-18$0.50/sh0 total
    Exercise: $0.50From: 2019-06-30Exp: 2023-04-01Common Stock (8,000,000 underlying)
  • Other

    Convertible Debt

    2019-09-18$0.50/sh0 total
    Exercise: $0.50From: 2019-06-30Exp: 2023-04-01Common Stock (3,540,000 underlying)
Holdings
  • Common Stock

    200,000
  • Common Stock

    (indirect: By Trust)
    52,833,050
  • Series D Preferred Stock

    250,000
Footnotes (4)
  • [F1]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.
  • [F2]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 Series D preferred stock were canceled and automatically converted into the right to receive par value of $0.001 per share in cash, without interest and less any applicable withholding taxes.
  • [F3]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, these out of the money common stock warrants were canceled and no consideration was paid to the holder.
  • [F4]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, this convertible debt was repaid in full.

Issuer

OMNICOMM SYSTEMS INC

CIK 0001034592

Entity typeother

Related Parties

1
  • filerCIK 0001238906

Filing Metadata

Form type
4
Filed
Sep 19, 8:00 PM ET
Accepted
Sep 20, 6:02 AM ET
Size
20.8 KB