0001596771-21-000004.txt : 20210127 0001596771-21-000004.hdr.sgml : 20210127 20210127154541 ACCESSION NUMBER: 0001596771-21-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210127 DATE AS OF CHANGE: 20210127 EFFECTIVENESS DATE: 20210127 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: 021-387551 FILM NUMBER: 21559580 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 Edward Andrle 7599 Anagram Dr. Eden Prairie MN MINNESOTA 55344 Director Jeffrey S. Mathiesen 7599 Anagram Dr. Eden Prairie MN MINNESOTA 55344 Director Ronald McClurg 7599 Anagram Dr. Eden Prairie MN MINNESOTA 55344 Executive Officer Biotechnology Decline to Disclose 06b false 2021-01-14 false true true true false 0 The Benchmark Company, LLC 22982 None None 150 E 58th Street 17th Floor New York NY NEW YORK 10155 MN MINNESOTA PR PUERTO RICO TX TEXAS IN INDIANA FL FLORIDA NY NEW YORK KY KENTUCKY SC SOUTH CAROLINA PA PENNSYLVANIA MA MASSACHUSETTS TN TENNESSEE OK OKLAHOMA UT UTAH false 12500000 12500000 0 false 36 1000000 true 0 1350000 true false NEUROONE MEDICAL TECHNOLOGIES Corp /s/ David A. Rosa David A. Rosa President and CEO 2021-01-27