0001701627-23-000001.txt : 20230801 0001701627-23-000001.hdr.sgml : 20230801 20230801103406 ACCESSION NUMBER: 0001701627-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230801 DATE AS OF CHANGE: 20230801 EFFECTIVENESS DATE: 20230801 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: 021-488422 FILM NUMBER: 231130098 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 Robert Colloton 6545 City West Parkway Eden Prairie MN MINNESOTA 55344 Executive Officer Director Chris Dewey 6545 City West Parkway Eden Prairie MN MINNESOTA 55344 Director Nathan Harrington 6545 City West Parkway Eden Prairie MN MINNESOTA 55344 Director Robert Stern 6545 City West Parkway Eden Prairie MN MINNESOTA 55344 Director Taylor Whitman 6545 City West Parkway Eden Prairie MN MINNESOTA 55344 Director Craig Yeshion 6545 City West Parkway Eden Prairie MN MINNESOTA 55344 Director Tim Hauch 6545 City West Parkway Eden Prairie MN MINNESOTA 55344 Executive Officer Other Health Care Decline to Disclose 06b false 2023-07-14 false true true true Convertible Notes & Warrants including the shares of capital stock issuable upon the conversion or exchange thereof. false 0 10000000 9595050 404950 13(a) - (c) includes amounts sold to US and non-US investors. false 83 0 0 0 false MIVI Neuroscience, Inc. /s/ Tim Hauch Tim Hauch CFO 2023-07-31