UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
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SCHEDULE 13D
Under the Securities Exchange Act of 1934
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NEUROONE MEDICAL TECHNOLOGIES CORPORATION
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(Name of Issuer)
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Common Stock, par value $0.001 per Share
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(Title of Class of Securities)
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64130M 100
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(CUSIP Number)
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Amer Samad
c/o NeuroOne Medical Technologies Corporation
24 Turnberry Drive
Williamsville, NY 14221
(708) 902-7450
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(Name, Address and Telephone Number of Person Authorized to
Receive Notices and Communications)
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March 6, 2014
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(Date of Event which Requires Filing of this Statement)
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If the filing person has previously filed a statement on Schedule 13G to report the acquisition that is the subject of this Schedule 13D, and is filing this schedule because of §§240.13d-1(e), 240.13d-1(f) or 240.13d-1(g), check the following box. o
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NOTE: Schedules filed in paper format shall include a signed original and five copies of the schedule, including all exhibits. See Rule 13d-7 for other parties to whom copies are to be sent.
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*The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page.
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CUSIP No.
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59503A 105
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1.
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Names of Reporting Person:
Amer Samad
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2.
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Check the Appropriate Box if a Member of a Group (See Instructions)
(a) o
(b) o
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3.
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SEC Use Only
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4.
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Source of Funds (See Instructions):
PF
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5.
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Check if Disclosure of Legal Proceedings Is Required Pursuant to Items 2(d) or 2(e)
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o
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6.
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Citizenship or Place of Organization:
U.S.
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NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH
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7.
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Sole Voting Power:
3,515,728
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8.
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Shared Voting Power:
None
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9.
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Sole Dispositive Power:
3,515,728
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10.
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Shared Dispositive Power:
None
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11.
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Aggregate Amount Beneficially Owned by Each Reporting Person:
3,515,728
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12.
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Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions):
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o
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13.
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Percent of Class Represented by Amount in Row (11):
69.3%
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14.
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Type of Reporting Person (See Instructions):
IN
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(a)
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The information relating to the beneficial ownership by Mr. Samad set forth in Rows 7 through 13 of the cover page hereto is incorporated herein by reference. The percentage set forth in Row 13 of the cover page filed herewith was calculated based on 5,073,000 shares of Common Stock outstanding as of May 19, 2017, as reported in the Issuer’s Quarterly Report on Form 10-Q, as filed with the Commission on May 22, 2017.
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(b)
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Mr. Samad has sole voting and dispositive power with respect to the shares of common stock owned by him.
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(c)
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Except as described herein, the Reporting Person has not effected any transaction in Company Common Stock in the past 60 days.
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(d) and (e)
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Not applicable
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By:
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/s/ Amer Samad
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Name:
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Amer Samad
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