0001709738-23-000013.txt : 20231113
0001709738-23-000013.hdr.sgml : 20231113
20231113174327
ACCESSION NUMBER: 0001709738-23-000013
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231109
FILED AS OF DATE: 20231113
DATE AS OF CHANGE: 20231113
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: 001-40439
FILM NUMBER: 231400359
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: 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
X0508
4
2023-11-09
0
0001500198
NEUROONE MEDICAL TECHNOLOGIES Corp
NMTC
0001709738
Christianson Mark
7599 ANAGRAM DRIVE
EDEN PRAIRIE
MN
55344
0
1
0
0
Business Development Director
0
Option to Purchase Common Stock
1.25
2023-11-09
4
A
0
17688
0
A
2033-11-08
Common Stock
17688
17688
D
25% will vest on November 9, 2024, and the remaining 75% will vest in 36 equal monthly installments on the last day of each month following November 9, 2024.
/s/ Stephanie Swan, by Power of Attorney
2023-11-13