0001596771-17-000072.txt : 20171018 0001596771-17-000072.hdr.sgml : 20171018 20171018140357 ACCESSION NUMBER: 0001596771-17-000072 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171018 DATE AS OF CHANGE: 20171018 EFFECTIVENESS DATE: 20171018 FILER: COMPANY DATA: COMPANY CONFORMED NAME: NEUROONE MEDICAL TECHNOLOGIES Corp CENTRAL INDEX KEY: 0001500198 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 270863354 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-296959 FILM NUMBER: 171142427 BUSINESS ADDRESS: STREET 1: 10006 LIATRIS LANE CITY: EDEN PRAIRIE STATE: MN ZIP: 55347 BUSINESS PHONE: (952) 237-7412 MAIL ADDRESS: STREET 1: 10006 LIATRIS LANE CITY: EDEN PRAIRIE STATE: MN ZIP: 55347 FORMER COMPANY: FORMER CONFORMED NAME: Original Source Entertainment, Inc. DATE OF NAME CHANGE: 20100830 D 1 primary_doc.xml X0708 D LIVE 0001500198 NEUROONE MEDICAL TECHNOLOGIES Corp 10006 LIATRIS LANE EDEN PRAIRIE MN MINNESOTA 55347 (952) 237-7412 DELAWARE Original Source Entertainment, Inc. Corporation true David A. Rosa 10006 Liatris Lane Eden Prairie MN MINNESOTA 55347 Executive Officer Director Thomas Bachinski 19059 Orchard Trail Lakeville MN MINNESOTA 55044 Executive Officer Jeffrey S. Mathiesen 10006 Liatris Lane Eden Prairie MN MINNESOTA 55347 Director Paul Buckman 10006 Liatris Lane Eden Prairie MN MINNESOTA 55347 Director Suraj Kalia 10006 Liatris Lane Eden Prairie MN MINNESOTA 55347 Director Mark Christianson 10006 Liatris Lane Eden Prairie MN MINNESOTA 55347 Executive Officer Biotechnology Decline to Disclose 06b false 2017-10-04 false true true true false 25000 1000000 150000 850000 false 3 0 0 0 false NEUROONE MEDICAL TECHNOLOGIES Corp /s/ David A. Rosa David A. Rosa CEO 2017-10-18