0001786919-19-000001.txt : 20190829 0001786919-19-000001.hdr.sgml : 20190829 20190829170718 ACCESSION NUMBER: 0001786919-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190829 DATE AS OF CHANGE: 20190829 EFFECTIVENESS DATE: 20190829 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Mind Medicine, Inc. CENTRAL INDEX KEY: 0001786919 IRS NUMBER: 841947694 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-347705 FILM NUMBER: 191067135 BUSINESS ADDRESS: STREET 1: 1325 AIRMOTIVE WAY, SUITE 175A CITY: RENO STATE: NV ZIP: 89502 BUSINESS PHONE: (650) 208-2454 MAIL ADDRESS: STREET 1: 1325 AIRMOTIVE WAY, SUITE 175A CITY: RENO STATE: NV ZIP: 89502 D 1 primary_doc.xml X0708 D LIVE 0001786919 Mind Medicine, Inc. 1325 AIRMOTIVE WAY, SUITE 175A RENO NV NEVADA 89502 (650) 208-2454 DELAWARE None None Corporation true 2019 Stephen Hurst 1325 Airmotive Way, Suite 175A Reno NV NEVADA 89502 Executive Officer Director Promoter Nico R Forte 1325 Airmotive Way, Suite 175A Reno NV NEVADA 89502 Executive Officer Scott R Freeman 1325 Airmotive Way, Suite 175A Reno NV NEVADA 89502 Executive Officer JR Rahn 1325 Airmotive Way, Suite 175A Reno NV NEVADA 89502 Director Other Decline to Disclose 06b false 2019-08-14 false true false 0 4000000 4000000 0 false 50 0 0 0 false Mind Medicine, Inc. /s/Stephen Hurst Stephen Hurst Chief Executive Officer 2019-08-29