0001711868-17-000001.txt : 20170802 0001711868-17-000001.hdr.sgml : 20170802 20170802161856 ACCESSION NUMBER: 0001711868-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170802 DATE AS OF CHANGE: 20170802 EFFECTIVENESS DATE: 20170802 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: 021-292006 FILM NUMBER: 171000161 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 Mark Christianson 10006 Liatris Lane Eden Prairie MN MINNESOTA 55347 Executive Officer Amer Samad 24 Turnberry Drive Williamsville NY NEW YORK 14221 Director Biotechnology Decline to Disclose 06b false 2017-07-20 false true true Merger and exchange of shares 0 Indefinite 0 Indefinite Stock for stock exchange false 19 0 true 0 true 0 true false NEUROONE MEDICAL TECHNOLOGIES Corp David A. Rosa David A. Rosa CEO 2017-08-02