0001209191-18-060713.txt : 20181204 0001209191-18-060713.hdr.sgml : 20181204 20181204101956 ACCESSION NUMBER: 0001209191-18-060713 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20181204 DATE AS OF CHANGE: 20181204 EFFECTIVENESS DATE: 20181204 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: 021-327121 FILM NUMBER: 181215583 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 James McCollum 6545 City West Parkway Eden Prairie MN MINNESOTA 55344 Executive Officer Director Benjamin Constable 6545 City West Parkway Eden Prairie MN MINNESOTA 55344 Director Fred Moll 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 2018-11-28 false true true Senior Subordinated Convertible Promissory Notes false 0 1000000 500000 500000 false 4 0 0 0 false MIVI Neuroscience, Inc. /s/ James McCollum James McCollum CEO 2018-12-04