OMNICOMM SYSTEMS, INC.

Common Stock, par value $.001 per share

68212 U 10 4

December 31, 2011

 

 

 

*

The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

 

 

Cusip No. 68212 U 10 4					Page 2 of 5 Pages
(1)	NAME OF REPORTING PERSON I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (entities only)   Guus van Kesteren not applicable
(2)	CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (See Instructions) (a)  ¨        (b)  x
(3)	SEC USE ONLY
(4)	CITIZENSHIP OR PLACE OF ORGANIZATION       Holland

NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH		(5)	SOLE VOTING POWER       5,098,103 shares of Common Stock
		(6)	SHARED VOTING POWER       0
		(7)	SOLE DISPOSITIVE POWER       5,098,103 shares of Common Stock
		(8)	SHARED DISPOSITIVE POWER       0
(9)	AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON       5,098,103
(10)	CHECK BOX IF AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES  ¨
(11)	PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)       5.7%
(12)	TYPE OF REPORTING PERSON       IN

SCHEDULE 13G

Cusip No. 68212 U 10 4

Page 3 of 5 Pages

 

Item 1(a).	Name of Issuer
	OmniComm Systems, Inc. (“Issuer”)
Item 1(b).	Address of Issuer’s Principal Executive Offices
	2101 West Commercial Blvd, Suite 3500, Ft. Lauderdale, FL 33309

Item 2(a) and 2(b).

Name of Person Filing and Address of Principal Business Office or, if none, Residence

	This Schedule 13G is being filed by Guus van Kesteren, a director of the Issuer, with a principal business office address of 2101 West Commercial Blvd, Suite 3500, Ft. Lauderdale, FL 33309.
Item 2(c).	Citizenship
	Mr. van Kesteren is a citizen of Holland
Item 2(d).	Title of Class of Securities
	Common Stock, $.001 par value per share
Item 2(e).	CUSIP No.
	68212 U 10 4
Item 3.	If This Statement is Filed Pursuant to Rules 13d-1(b), or 13d-2(b), Check Whether the Person Filing Is a:
	Not Applicable

Cusip No. 68212 U 10 4		Page 4 of 5 Pages

Item 4.	Ownership
	Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.
	(a)		Amount Beneficially Owned:
			5,098,103 shares of Common Stock.
	(b)		Percent of Class:
			5.7% on the Date of Event Which Requires Filing of this Statement.
	(c)		Number of shares as to which such person has:
			(i)		Sole power to vote or to direct the vote
					5,098,103 shares
			(ii)		Shared power to vote or to direct the vote
					0
			(iii)		Sole power to dispose or to direct the disposition of
					5,098,103 shares
			(iv)		Shared power to dispose or to direct the disposition of
					0
Item 5.	Ownership of Five Percent or Less of a Class
	If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more that five percent of the class of securities, check the following ¨
Item 6.	Ownership of More Than Five Percent on Behalf of Another Person
	Other than as set forth herein, no other person has the right to receive or the power to direct the receipt of dividends from, or proceeds from the sale of, in excess of 5% of the total outstanding Common Stock.
Item 7.	Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company
	Not Applicable.
Item 8.	Identification and Classification of Members of the Group
	Not Applicable.
Item 9.	Notice of Dissolution of Group
	Not Applicable.
Item 10.	Certifications

Cusip No. 68212 U 10 4

Page 5 of 5 Pages

		By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.