0001144204-14-058693.txt : 20140930 0001144204-14-058693.hdr.sgml : 20140930 20140930160140 ACCESSION NUMBER: 0001144204-14-058693 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140930 DATE AS OF CHANGE: 20140930 EFFECTIVENESS DATE: 20140930 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CNS RESPONSE, INC. CENTRAL INDEX KEY: 0000822370 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090] IRS NUMBER: 870419387 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-225540 FILM NUMBER: 141129801 BUSINESS ADDRESS: STREET 1: 85 ENTERPRISE STREET 2: SUITE 410, CITY: ALISO VIEJO STATE: CA ZIP: 92656 BUSINESS PHONE: (714) 545 3288 MAIL ADDRESS: STREET 1: 85 ENTERPRISE STREET 2: SUITE 410, CITY: ALISO VIEJO STATE: CA ZIP: 92656 FORMER COMPANY: FORMER CONFORMED NAME: STRATIVATION, INC. DATE OF NAME CHANGE: 20051115 FORMER COMPANY: FORMER CONFORMED NAME: SalesTactix, Inc. DATE OF NAME CHANGE: 20040805 FORMER COMPANY: FORMER CONFORMED NAME: AGE RESEARCH INC DATE OF NAME CHANGE: 19990210 D 1 primary_doc.xml X0707 D LIVE 0000822370 CNS RESPONSE, INC. 85 ENTERPRISE SUITE 410, ALISO VIEJO CA CALIFORNIA 92656 949-420-4400 DELAWARE None STRATIVATION, INC. SalesTactix, Inc. AGE RESEARCH INC Corporation true George Carpenter c/o CNS Response, Inc. 85 Enterprise, Suite 410 Aliso Viejo CA CALIFORNIA 92656 Executive Officer John Pappajohn c/o CNS Response, Inc. 85 Enterprise, Suite 410 Aliso Viejo CA CALIFORNIA 92656 Director Zachary McAdoo c/o CNS Response, Inc. 85 Enterprise, Suite 410 Aliso Viejo CA CALIFORNIA 92656 Director Walter Schindler c/o CNS Response, Inc. 85 Enterprise, Suite 410 Aliso Viejo CA CALIFORNIA 92656 Director Robert Follman c/o CNS Response, Inc. 85 Enterprise, Suite 410 Aliso Viejo CA CALIFORNIA 92656 Director Thomas Tierney c/o CNS Response, Inc. 85 Enterprise, Suite 410 Aliso Viejo CA CALIFORNIA 92656 Director Andrew Sassine c/o CNS Response, Inc. 85 Enterprise, Suite 410 Aliso Viejo CA CALIFORNIA 92656 Director Richard Turner c/o CNS Response, Inc. 85 Enterprise, Suite 410 Aliso Viejo CA CALIFORNIA 92656 Director Paul Buck c/o CNS Response, Inc. 85 Enterprise, Suite 410 Aliso Viejo CA CALIFORNIA 92656 Executive Officer Other Health Care Decline to Disclose 06b false 2014-07-08 false true false 5000 1000000 260000 740000 false 6 0 0 0 false CNS RESPONSE, INC. /s/ Paul Buck Paul Buck Chief Financial Officer 2014-09-29