0001596771-17-000063.txt : 20170724 0001596771-17-000063.hdr.sgml : 20170724 20170724160238 ACCESSION NUMBER: 0001596771-17-000063 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170720 FILED AS OF DATE: 20170724 DATE AS OF CHANGE: 20170724 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Christianson Mark CENTRAL INDEX KEY: 0001709738 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-54716 FILM NUMBER: 17978372 MAIL ADDRESS: STREET 1: 10006 LIATRIS LANE CITY: EDEN PRAIRIE STATE: MN ZIP: 55347 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NEUROONE MEDICAL TECHNOLOGIES Corp CENTRAL INDEX KEY: 0001500198 STANDARD INDUSTRIAL CLASSIFICATION: PATENT OWNERS & LESSORS [6794] IRS NUMBER: 270863354 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 24 TURNBERRY DRIVE CITY: WILLIAMSVILLE STATE: NY ZIP: 14221 BUSINESS PHONE: (708) 902-7450 MAIL ADDRESS: STREET 1: 24 TURNBERRY DRIVE CITY: WILLIAMSVILLE STATE: NY ZIP: 14221 FORMER COMPANY: FORMER CONFORMED NAME: Original Source Entertainment, Inc. DATE OF NAME CHANGE: 20100830 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2017-07-20 0 0001500198 NEUROONE MEDICAL TECHNOLOGIES Corp OSOK 0001709738 Christianson Mark 10006 LIATRIS LANE EDEN PRAIRIE MN 55347 0 1 1 0 VP, Business Dev and Marketing Common Stock 2017-07-20 4 A 0 1423206 A 1423206 D The reporting person acquired the shares of NeuroOne Medical Technologies Corporation ("NMTC") on July 20, 2017, in exchange for shares of the common stock of NeuroOne, Inc. ("NeuroOne"), pursuant to the Agreement and Plan of Merger and Reorganization, dated as of July 20, 2017, between NMTC, OSOK Acquisition Company and NeuroOne, pursuant to which NeuroOne became the wholly-owned subsidiary of NMTC. Per the terms of the Merger Agreement, each share of NeuroOne common stock was converted into the right to receive 17.0103706 shares of NMTC common stock. Stephanie Swan, by Power of Attorney 2017-07-24