0001615774-15-001693.txt : 20150702 0001615774-15-001693.hdr.sgml : 20150702 20150702160407 ACCESSION NUMBER: 0001615774-15-001693 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150702 DATE AS OF CHANGE: 20150702 EFFECTIVENESS DATE: 20150702 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-225542 FILM NUMBER: 15969657 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/A 1 primary_doc.xml X0707 D/A LIVE 0000822370 CNS RESPONSE, INC. 85 ENTERPRISE SUITE 410, ALISO VIEJO CA CALIFORNIA 92656 (949) 420 4400 DELAWARE SALESTACTIX, INC. AGE RESEARCH, INC 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 Robert Follman 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 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 true 0001144204-14-058705 2014-09-22 true true false 5000 3000000 2265000 735000 false 9 0 0 0 false CNS RESPONSE, INC. /s/ Paul Buck Paul Buck Chief Financial Officer 2015-07-02