Mendolia Thomas Francis DO Form 3 Rennova Health / Thomas Francis DO Mendolia ownership change

SEC Form 3

FORM 3

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

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

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1. Name and Address of Reporting Person^*

Mendolia Thomas Francis DO

(Last) (First) (Middle)

116 QUINCY COURT

(Street)

MOORESVILLE NC 28117

(City) (State) (Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
11/02/2015

3. Issuer Name and Ticker or Trading Symbol
Rennova Health, Inc. [ RNVA ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

Director	X	10% Owner
Officer (give title below)		Other (specify below)

5. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock	1,855,659(1)	D
Series B Convertible Preferred Stock	1,000(2)	D

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
	Date Exercisable	Expiration Date	Title	Amount or Number of Shares

Explanation of Responses:

1. Received in connection with the merger transaction with Medytox Solutions, Inc. ("Medytox"), in exchange for 4,530,000 shares of Medytox common stock, based upon an exchange ratio of 0.4096377408003329 per share.

2. Received in connection with the merger transaction with Medytox in exchange for 1,000 shares of Medytox Series B Preferred Stock.

	/s/ Thomas Francis Mendolia	11/12/2015
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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