0001209191-17-051840.txt : 20170907 0001209191-17-051840.hdr.sgml : 20170907 20170907090851 ACCESSION NUMBER: 0001209191-17-051840 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170907 DATE AS OF CHANGE: 20170907 EFFECTIVENESS DATE: 20170907 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MIVI Neuroscience, Inc. CENTRAL INDEX KEY: 0001701627 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-294189 FILM NUMBER: 171072985 BUSINESS ADDRESS: STREET 1: 6545 CITY WEST PARKWAY CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 BUSINESS PHONE: (952) 944-3834 MAIL ADDRESS: STREET 1: 6545 CITY WEST PARKWAY CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 D 1 primary_doc.xml X0708 D LIVE 0001701627 MIVI Neuroscience, Inc. 6545 CITY WEST PARKWAY EDEN PRAIRIE MN MINNESOTA 55344 (952) 944-3834 DELAWARE None None Corporation true 2014 Matthew Ogle 6545 City West Parkway Eden Prairie MN MINNESOTA 55344 Executive Officer Director Christopher Geyen 6545 City West Parkway Eden Prairie MN MINNESOTA 55344 Executive Officer Benjamin Constable 6545 City West Parkway Eden Prairie MN MINNESOTA 55344 Director George Fazio 6545 City West Parkway Eden Prairie MN MINNESOTA 55344 Director John O'Meara 6545 City West Parkway Eden Prairie MN MINNESOTA 55344 Director Other Health Care Decline to Disclose 06b false 2017-09-01 false true true Conversion of Promissory Notes to Equity false 0 1642362 1642362 0 Reflects US Conversions false 27 0 0 0 false MIVI Neuroscience, Inc. /s/ Christopher Geyen Christopher Geyen President & CEO 2017-09-07