0001711868-17-000002.txt : 20170829 0001711868-17-000002.hdr.sgml : 20170829 20170829170454 ACCESSION NUMBER: 0001711868-17-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170829 DATE AS OF CHANGE: 20170829 EFFECTIVENESS DATE: 20170829 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: 021-293706 FILM NUMBER: 171058623 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 2017-08-18 false true true false 50000 300000 253000 47000 false 2 0 true 0 true 0 true false NEUROONE MEDICAL TECHNOLOGIES Corp David A. Rosa David A. Rosa CEO 2017-08-29