0001596771-20-000046.txt : 20200604
0001596771-20-000046.hdr.sgml : 20200604
20200604171712
ACCESSION NUMBER: 0001596771-20-000046
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200602
FILED AS OF DATE: 20200604
DATE AS OF CHANGE: 20200604
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BUCKMAN PAUL
CENTRAL INDEX KEY: 0001215243
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-54716
FILM NUMBER: 20943720
MAIL ADDRESS:
STREET 1: 12988 VALLEY VIEW RD
CITY: EDEN PRAIRIE
STATE: MN
ZIP: 55402
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: NEUROONE MEDICAL TECHNOLOGIES Corp
CENTRAL INDEX KEY: 0001500198
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 270863354
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0930
BUSINESS ADDRESS:
STREET 1: 7599 ANAGRAM DR
CITY: EDEN PRAIRIE
STATE: MN
ZIP: 55344
BUSINESS PHONE: (952) 426-1383
MAIL ADDRESS:
STREET 1: 7599 ANAGRAM DR
CITY: EDEN PRAIRIE
STATE: MN
ZIP: 55344
FORMER COMPANY:
FORMER CONFORMED NAME: Original Source Entertainment, Inc.
DATE OF NAME CHANGE: 20100830
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2020-06-02
0
0001500198
NEUROONE MEDICAL TECHNOLOGIES Corp
NMTC
0001215243
BUCKMAN PAUL
7599 ANAGRAM DRIVE
EDEN PRAIRIE
MN
55344
1
0
0
0
Common Stock
2020-06-02
4
A
0
22371
0
A
80495
D
Option to Purchase Common Stock
1.48
2020-06-02
4
A
0
23725
0
A
2030-06-02
Common Stock
23725
23725
D
Represents a grant of restricted stock units, which vest in 12 equal monthly installments over a one-year period, with such vesting to occur at the end of each month.
The option vests in 12 equal monthly installments over a one-year period, with such vesting to occur at the end of each month.
/s/ Stephanie Swan, by Power of Attorney
2020-06-04