0001209191-19-007949.txt : 20190207 0001209191-19-007949.hdr.sgml : 20190207 20190207101853 ACCESSION NUMBER: 0001209191-19-007949 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190207 DATE AS OF CHANGE: 20190207 EFFECTIVENESS DATE: 20190207 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: 021-332336 FILM NUMBER: 19573780 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 James McCollum 6545 City West Parkway Eden Prairie MN MINNESOTA 55344 Executive Officer Director Matthew Ogle 6454 City West Parkway Eden Prairie MN MINNESOTA 55344 Executive Officer Director Benjamin Constable 6545 City West Parkway Eden Prairie MN MINNESOTA 55344 Director John O'Meara 6545 City West Parkway Eden Prairie MN MINNESOTA 55344 Director Fred Moll 6545 City West Parkway Eden Prairie MN MINNESOTA 55344 Director Other Health Care Decline to Disclose 06b false 2019-01-25 false true true Series A Preferred Stock false 0 10000000 3175863 6824137 false 17 0 0 0 false MIVI Neuroscience, Inc. /s/James McCollum James McCollum CEO 2019-02-07