0001641540-20-000001.txt : 20201204 0001641540-20-000001.hdr.sgml : 20201204 20201204104416 ACCESSION NUMBER: 0001641540-20-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20201204 DATE AS OF CHANGE: 20201204 EFFECTIVENESS DATE: 20201204 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Neuro-ID, Inc. CENTRAL INDEX KEY: 0001641540 IRS NUMBER: 473425300 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-382249 FILM NUMBER: 201369056 BUSINESS ADDRESS: STREET 1: PO BOX 1797 CITY: WHITEFISH STATE: MT ZIP: 59937 BUSINESS PHONE: 406-871-4000 MAIL ADDRESS: STREET 1: PO BOX 1797 CITY: WHITEFISH STATE: MT ZIP: 59937 D 1 primary_doc.xml X0708 D LIVE 0001641540 Neuro-ID, Inc. 911 Wisconsin Avenue Suite 203 WHITEFISH MT MONTANA 59937 406-871-4000 DELAWARE NeuroSense Inc. None Corporation true Jack Alton PO Box 1797 Whitefish MT MONTANA 59937 Executive Officer Director Promoter Joseph Valacich PO Box 1797 Whitefish MT MONTANA 59937 Executive Officer Director Jeff Jenkins PO Box 1797 Whitefish MT MONTANA 59937 Executive Officer Director Courtney Laabs PO Box 1797 Whitefish MT MONTANA 59937 Executive Officer Logan Allin PO Box 1797 Whitefish MT MONTANA 59937 Director Al Stinson PO Box 1797 Whitefish MT MONTANA 59937 Director Jack Neal PO Box 1797 Whitefish MT MONTANA 59937 Director Jon Fetveit PO Box 1797 Whitefish MT MONTANA 59937 Executive Officer Other Decline to Disclose 06b false 2020-11-19 false true false 0 6999998 6999998 0 false 4 0 0 0 false Neuro-ID, Inc. Jack Alton Jack Alton CEO 2020-12-04