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| þ | ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
|--------|--------------------------------------------------------------------------------------|

| o | TRANSITION REPORT UNDER SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
|---|------------------------------------------------------------------------------------|

| Nevada                                                         |   | 87-0450450                           |
|----------------------------------------------------------------|--------|--------------------------------------|
| (State or other jurisdiction of incorporation or organization) |   | (I.R.S. Employer Identification No.) |

| 1111 Main St Suite 201 Conway, AR        |   | 72032      |
|------------------------------------------|--------|------------|
| (Address of principal executive offices) |   | (Zip Code) |

| Title of each class |   | Name of each exchange on which registered |
|---------------------|--------|-------------------------------------------|
| Common Stock        |   | NYSE MKT                                  |

| Large accelerated filer | o | Accelerated filer         | o      |
|-------------------------|---|---------------------------|--------|
| Non-accelerated filer   | o | Smaller reporting company | þ |

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| Exhibit No. |   | Description of Exhibit                                                                                                                                                                                                                                                                                                                                                                      |
|-------------|--------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 2.1         |   | Agreement, entered into as of August 19, 2004, by and among Registrant, WebCapades Acquisition Sub, Inc., WebCapades, Inc., Scott Mitchell and Kristine E. Mitchell (Incorporated by reference and filed as an exhibit to the Registrant’s Current Report on Form 8-K filed with the Securities and Exchange Commission on August 25, 2004.)                                          |
| 2.2         |   | Plan of Merger by Registrant, WebCapades Acquisition Sub, Inc., and WebCapades, Inc. (Incorporated by reference and filed as an exhibit to the Registrant’s Current Report on Form 8-K filed with the Securities and Exchange Commission on August 25, 2004.)                                                                                                                         |
| 2.3         |   | Agreement and Plan of Reorganization by and among Registrant and WorldMall Acquisition Corporation, WorldMall, Inc., S. Patrick Martin and the other stockholders of WorldMall, Inc. dated as of March, 2001 (Incorporated by reference and filed as an exhibit to the Registrant’s Annual Report on Form 10-KSB filed with the Securities and Exchange Commission on March 1, 2004.) |
| 2.4         |   | Agreement and Plan of Merger dated June 5, 2009 between Inuvo, Inc. and Kowabunga! Inc. (Incorporated by reference and filed as an exhibit to the Registrant’s Current Report on Form 8-K filed with the Securities and Exchange Commission on July 24, 2009.)                                                                                                                        |
| 2.5         |   | Agreement and Plan of Merger dated October 16, 2011 between Inuvo, Inc., Anhinga Merger Subsidiary, Inc. and Vertro, Inc. (Incorporated by reference to the Registrant’s Current Report on Form 8-K as fled on October 17, 2011.)                                                                                                                                                     |
| 3(i).1      |   | Articles of Incorporation, as amended)Incorporated by reference and filed as an exhibit to the Registrant’s Annual Report on Form 10-KSB filed with the Securities and Exchange Commission on March 1, 2004.)                                                                                                                                                                         |
| 3(i).2      |   | Amended to Articles of Incorporation filed March 14, 2005 (Incorporated by reference and filed as an exhibit to the Registrant’s Annual Report on Form 10-KSB filed with the Securities and Exchange Commission on March 31, 2006.)                                                                                                                                                   |
| 3(i).3      |   | Articles of Merger between Inuvo, Inc. and Kowabunga! Inc. (Incorporated by reference and filed as an exhibit to the Registrant’s Current Report on Form 8-K filed with the Securities and Exchange Commission on July 24, 2009.)                                                                                                                                                     |
| 3(i).4      |   | Certificate of Change Filed Pursuant to NRS 78.209 (Incorporated by reference to the Registrant’s Current Report on Form 8-K as filed on September 30, 2010.)                                                                                                                                                                                                                         |
| 3(i).5      |   | Certificate of Merger as filed with the Secretary of State of Nevada on February 29, 2012 (Incorporated by reference to the Registrant's Annual Report on Form 10-K as filed on March 29, 2012.)                                                                                                                                                                                            |
| 3(i).6      |   | Articles of Amendment to Amended Articles of Incorporation as filed on February 29, 2012 (Incorporated by reference to the Registrant's Annual Report on Form 10-K as filed on March 29, 2012.)                                                                                                                                                                                             |
| 3(ii).1     |   | Amended and Restated By-Laws (Incorporated by reference to the Registrant’s Annual Report on Form 10-K filed with the Securities and Exchange Commission on March 31, 2010.)                                                                                                                                                                                                          |
| 3(ii).2     |   | Bylaw amendment adopted February 29, 2012 (Incorporated by reference to the Registrant’s Current Report on Form 8-K as filed on March 6, 2012.)                                                                                                                                                                                                                                       |
| 4.1         |   | Form of warrant to purchase shares of Registrant for 2009 consultants (Incorporated by reference to the Registrant's Annual Report on Form 10-K as filed on March 29, 2012.)                                                                                                                                                                                                                |
| 4.2         |   | Form of warrant to purchase shares of Registrant for 2011 offering. (Incorporated by reference and filed as an exhibit to the Registrant’s Current Report on Form 8-K filed with the Securities and Exchange Commission on June 22, 2011.)                                                                                                                                            |
| 4.3         |   | Rights Agreement dated February 14, 2008 (Incorporated by reference to the Current Report on Form 8-K as filed with the Securities and Exchange Commission on February 19, 2008).                                                                                                                                                                                                           |

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| 4.4   |   | Exchange Agent Agreement dated February 24, 2012 between Inuvo, Inc. and Colonial Stock Transfer Co., Inc. (Incorporated by reference to the Registrant's Annual Report on Form 10-K as filed on March 29, 2012.)                                                                                                                                                                  |
|-------|--------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 4.5   |   | Form of Amendment No. 1 to Rights Agreement (Incorporated by reference to the Registrant’s Current Report on Form 8-K as fled on October 17, 2011.)                                                                                                                                                                                                                          |
| 4.6   |   | Form of warrant to purchase 40,000 shares of common stock issued to Alliance Advisors, LLC (Incorporated by reference to the Registrant's Annual Report on Form 10-K as filed on March 29, 2012.)                                                                                                                                                                                  |
| 4.7   |   | Form of warrant to purchase 10,000 shares of common stock issued to Alliance Advisors, LLC (Incorporated by reference to the Registrant's Annual Report on Form 10-K as filed on March 29, 2012.)                                                                                                                                                                                  |
| 4.8   |   | Form of warrant to purchase 51,724 shares pursuant to the Second Business Financing Modification Agreement with Bridge Bank, National Association, dated October 11, 2012. (Incorporated by reference to Form 10-Q filed with the Securities and Exchange Commission on November 8, 2012.)                                                                                         |
| 10.1  |   | 2005 Long-Term Incentive Plan (Incorporated by reference to the Current Report on Form 8-K as filed on December 10, 2010.)                                                                                                                                                                                                                                                         |
| 10.2  |   | Specimen Stock Option Agreement between the Registrant and Optionees (Incorporated by reference and filed as an exhibit to the Registrant’s Current Report on Form 8-K filed with the Securities and Exchange Commission on July 1, 2008.)                                                                                                                                   |
| 10.3  |   | Lease Agreement, dated August 10, 2007, by and between Lightwave Drive, LLC and Think Partnership, Inc., as amended (Incorporated by reference to the Registrant's Annual Report on Form 10-K as filed on March 29, 2012.)                                                                                                                                                         |
| 10.4  |   | Lease dated February 29, 2000 by and between Alot, Inc. (formerly Comet Systems, Inc.) and The Rector, Church-Wardens and Vestrymen of Trinity Church in New York, a religious corporation in the State of New York, including the previous amendment dated August 8, 2000. (Incorporated by reference to the Registrant's Annual Report on Form 10-K as filed on March 29, 2012.) |
| 10.5  |   | Lease Modification and Extension Agreement by and between Alot, Inc.(formerly known as MIVA Direct, Inc.) and The Rector, Church-Wardens and Vestrymen of Trinity Church in New York, dated February 23, 2006. (Incorporated by reference to the Registrant's Annual Report on Form 10-K as filed on March 29, 2012.)                                                              |
| 10.6  |   | Reserved.                                                                                                                                                                                                                                                                                                                                                                          |
| 10.7  |   | Reserved.                                                                                                                                                                                                                                                                                                                                                                          |
| 10.8  |   | Reserved.                                                                                                                                                                                                                                                                                                                                                                          |
| 10.9  |   | Reserved.                                                                                                                                                                                                                                                                                                                                                                          |
| 10.1  |   | 2010 Equity Compensation Plan (Incorporated by reference to the Registrant’s definitive proxy statement on Schedule 14A as filed on April 30, 2010.)                                                                                                                                                                                                                         |
| 10.11 |   | Amendment to Lease, dated as of July 25, 2012, between Capital Growth of Clearwater, LLC, and Inuvo, Inc. (Incorporated by reference to Form 10-Q filed with the Securities and Exchange Commission on August 9, 2012.)                                                                                                                                                            |
| 10.12 |   | First Business Financing Modification Agreement with Bridge Bank, National Association, dated June 29, 2012. (Incorporated by reference to Form 10-Q filed with the Securities and Exchange Commission on August 9, 2012.)                                                                                                                                                         |
| 10.13 |   | Agreement dated June 15, 2011, executed October 20, 2011, between Inuvo, Inc. and Alliance Advisors, LLC (Incorporated by reference to the Registrant's Annual Report on Form 10-K as filed on March 29, 2012.)                                                                                                                                                                    |
| 10.14 |   | Employment Agreement dated March 1, 2012 between Inuvo, Inc. and Richard K. Howe (Incorporated by reference to the Registrant’s Current Report on Form 8-K as filed on March 6, 2012.)                                                                                                                                                                                       |
| 10.15 |   | Second Business Financing Modification Agreement with Bridge Bank, National Association, dated October 11, 2012. (Incorporated by reference to Form 10-Q filed with the Securities and Exchange Commission on November 8, 2012.)                                                                                                                                                   |
| 10.16 |   | Employment Agreement dated March 1, 2012 between Inuvo, Inc. and Wallace D. Ruiz (Incorporated by reference to the Registrant’s Current Report on Form 8-K as filed on March 6, 2012.)                                                                                                                                                                                       |
| 10.17 |   | Employment Agreement dated March 1, 2012 between Inuvo, Inc. and John B. Pisaris (Incorporated by reference to the Registrant’s Current Report on Form 8-K as filed on March 6, 2012.)                                                                                                                                                                                       |
| 10.18 |   | Amendment dated February 29, 2012 to 2010 Equity Compensation Plan (Incorporated by reference to the Registrant’s Current Report on Form 8-K as filed on March 6, 2012.)                                                                                                                                                                                                     |
| 10.19 |   | Business Financing Agreement, dated March 1, 2012, with Bridge Bank, National Association (Incorporated by reference to the Registrant’s Current Report on Form 8-K as filed on March 6, 2012.)                                                                                                                                                                              |
| 10.2  |   | Intellectual Property Security Agreement, dated March 1, 2012, between Inuvo, Inc. and Bridge Bank, National Association (Incorporated by reference to the Registrant’s Current Report on Form 8-K as filed on March 6, 2012.)                                                                                                                                               |
| 10.21 |   | Intellectual Property Security Agreement, dated March 1, 2012, between subsidiaries and Bridge Bank, National Association (Incorporated by reference to the Registrant’s Current Report on Form 8-K as filed on March 6, 2012.)                                                                                                                                              |
| 10.22 |   | Release Agreement dated December 19, 2012 by and between Peter A. Corrao and Inuvo, Inc. (Incorporated by reference to Form 8-K filed with the Securities and Exchange Commission on December 19, 2012.)                                                                                                                                                                           |
| 10.23 |   | Quick Action Closing Fund Grant Agreement, dated January 25, 2013, with the Arkansas Economic Development Commission. ****                                                                                                                                                                                                                                                         |
| 10.24 |   | Grant Reimbursement Agreement, dated January 25, 2013, with the Arkansas Economic Development.* Commission. ****                                                                                                                                                                                                                                                                   |
| 10.25 |   | Google Services Agreement, as of February 1, 2013, between Google Inc. and Vertro, Inc. */**                                                                                                                                                                                                                                                                                       |
| 10.26 |   | Lease Termination Agreement, dated January 29, 2013, between Inuvo, Inc. and Capital Growth of Clearwater, LLC. ****                                                                                                                                                                                                                                                               |
| 10.27 |   | Yahoo! Publisher Network Contract, dated April 4, 2009, as amended. (Incorporated by reference to Amendment No. 1 to Form 10-Q filed with the Securities and Exchange Commission on December 28, 2012).                                                                                                                                                                            |
| 21.1  |   | Subsidiaries of the Registrant****                                                                                                                                                                                                                                                                                                                                                 |
| 31.1  |   | Rule 13a-14(a)/15d-14(a) certification of Chief Executive Officer *                                                                                                                                                                                                                                                                                                                |
| 31.2  |   | Rule 13a-14(a)/15d-14(a) certification of Chief Financial Officer *                                                                                                                                                                                                                                                                                                                |
| 32.1  |   | Section 1350 certification of Chief Executive Officer *                                                                                                                                                                                                                                                                                                                            |
| 32.2  |   | Section 1350 certification of Chief Financial Officer *                                                                                                                                                                                                                                                                                                                            |

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| 101.INS  |   | XBRL Instance Document ***                                 |
|----------|--------|------------------------------------------------------------|
| 101.SCH  |   | XBRL Taxonomy Extension Schema Document ***                |
| 1010.CAL |   | XBRL Taxonomy Extension Calculation Linkbase Document ***  |
| 101.DEF  |   | XBRL Taxonomy Extension Definition Linkbase Document ***   |
| 101.LAB  |   | XBRL Taxonomy Extension Label Linkbase Document ***        |
| 101.PRE  |   | XBRL Taxonomy Extension Presentation Linkbase Document *** |

| *  | Filed herewith. |
|---------|-----------------|

| ** | Portions of this exhibit have been omitted pursuant to a request for confidential treatment filed with the Commission under Rule 24b-2 The omitted confidential material has been filed separately with the Commission. The location of the omitted confidential information is indicated in the exhibit with asterisks (***). |
|----|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

| *** | In accordance with Regulation S-T, the XBRL-formatted interactive data files that comprise Exhibit 101 to this report shall be deemed furnished and not filed. |
|-----|----------------------------------------------------------------------------------------------------------------------------------------------------------------|

| ****  | Previously filed. |
|------------|-------------------|

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|               | Inuvo, Inc. |                    |
|--------------------|-------------|-------------------------|
|               |        |                    |   |
| Date: May 21, 2013 | By:         | /s/ Wallace D. Ruiz     |   |
|               |        | Chief Financial Officer |   |

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