SC 13G/A 1 montero_sc13ga5-021313.htm SC 13G/A montero_sc13ga5-021313.htm

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 

SCHEDULE 13G
 
Under the Securities Exchange Act of 1934
(Amendment No. 5)*
 

OMNICOMM SYSTEMS, INC.
(Name of issuer)
 

Common Stock, par value $.001 per share
(Title of class of securities)
 
68212 U 10 4
(CUSIP number)
 
December 31, 2012
(Date of event which requires filing of this statement)
 

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
 
¨ Rule 13d-1(b)
 
x Rule 13d-1(c)
 
¨ Rule 13d-1(d)
 
*
 
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.
 
The information required on the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
 
 
 

 



Cusip No. 68212 U 10 4
SCHEDULE 13G
Page 2 of 5 Pages
 
(1)
 
Name of reporting person
I.R.S. Identification nos. of above persons (entities only)
 
Fernando Montero
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
 
United States
Number of
shares
beneficially
owned by
each
reporting
person
with
(5)
Sole voting power
 
0 shares of Common Stock
(6)
Shared voting power
 
800,000 shares of Common Stock
(7)
Sole dispositive power
 
0 shares of Common Stock
(8)
Shared dispositive power
 
800,000 shares of Common Stock
(9)
 
Aggregate amount beneficially owned by each reporting person
 
800,000
(10)
 
Check box if aggregate amount in Row (9) excludes certain shares ¨
 
(11)
 
Percent of class represented by amount in Row (9)
 
.92%
(12)
 
Type of reporting person
 
IN
 
 
 

 
 

Cusip No. 68212 U 10 4
SCHEDULE 13G
Page 3 of 5 Pages
 
Item 1
(a).
Name of Issuer
     
   
OmniComm Systems, Inc.
     
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 Fernando Montero (the “Reporting Person”), with an address of 2665 South Bayshore Drive, Suite 715, Miami, Florida 33133 (“Montero”) pursuant to Section 13 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”)., .
     
Item 2
(c).
Citizenship
     
   
Montero is a citizen of the United States.
     
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
 
SCHEDULE 13G
 
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.
 
Montero is president, director and sole shareholder of Mentor Capital Corporation (“Mentor Capital”). Mentor Capital is the fund manager for Atlantic Balanced Fund (“ABF”) having voting and dispositive control of the shares in OmniComm Systems, Inc. held by ABF and therefore Montero may be deemed to beneficially own the shares held by ABF. The Reporting Person may be deemed to beneficially own an aggregate of 800,000 shares of the Common Stock (as described below).
 
(a)  Amount Beneficially Owned: 800,000 shares of Common Stock which include
     
  (i) 400,000 shares of Common Stock issuable upon exercise of warrants currently exercisable held and directly owned by ABF on the Date of Event Which Requires Filing of this Statement, and
  (ii) 400,000 shares of Common Stock issuable upon conversion of notes currently convertible held and directly owned by ABF on the Date of Event Which Requires Filing of this Statement.
     
     
 
(b)  Percent of Class: .92% 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 0 shares        
(ii)  Shared power to vote or to direct the vote 800,000 shares        
(iii)  Sole power to dispose or to direct the disposition of 0 shares        
(iv)  Shared power to dispose or to direct the disposition of 800,000 shares
 
 
 

 
 
Cusip No. 68212 U 10 4
SCHEDULE 13G
Page 5 of 5 Pages

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 than five percent of the class of securities, check the following  [X]
   
   
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
   
 
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.
 

 
SIGNATURE
 
After reasonable inquiry and to the best of the undersigned’s knowledge and belief, the undersigned certifies that the information set forth in this statement is true, complete and correct.
 
Date: February 13, 2013
 
 
/s/ Fernando Montero
 
Fernando Montero