0001596771-19-000129.txt : 20191107 0001596771-19-000129.hdr.sgml : 20191107 20191107090117 ACCESSION NUMBER: 0001596771-19-000129 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20191107 DATE AS OF CHANGE: 20191107 EFFECTIVENESS DATE: 20191107 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: 0930 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-352807 FILM NUMBER: 191198321 BUSINESS ADDRESS: STREET 1: 7599 ANAGRAM DR CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 BUSINESS PHONE: (952) 426-1383 MAIL ADDRESS: STREET 1: 7599 ANAGRAM DR CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 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 7599 Anagram Dr. Eden Prairie MN MINNESOTA 55344 (952) 426-1383 DELAWARE Original Source Entertainment, Inc. Corporation true David A. Rosa 7599 Anagram Dr. Eden Prairie MN MINNESOTA 55344 Executive Officer Director Mark Christianson 7599 Anagram Dr. Eden Prairie MN MINNESOTA 55344 Executive Officer Steve Mertens 7599 Anagram Dr. Eden Prairie MN MINNESOTA 55344 Executive Officer Paul Buckman 7599 Anagram Dr. Eden Prairie MN MINNESOTA 55344 Director Suraj Kalia 7599 Anagram Dr. Eden Prairie MN MINNESOTA 55344 Director Jeffrey S. Mathiesen 7599 Anagram Dr. Eden Prairie MN MINNESOTA 55344 Director Biotechnology Decline to Disclose 06b false 2019-10-23 false true false 25000 1000000 255000 745000 false 3 0 0 0 false NEUROONE MEDICAL TECHNOLOGIES Corp /s/ David A. Rosa David A. Rosa President and CEO 2019-11-07