0001772652-23-000013.txt : 20231204 0001772652-23-000013.hdr.sgml : 20231204 20231204163234 ACCESSION NUMBER: 0001772652-23-000013 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231130 FILED AS OF DATE: 20231204 DATE AS OF CHANGE: 20231204 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mertens Steve CENTRAL INDEX KEY: 0001772652 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40439 FILM NUMBER: 231463684 MAIL ADDRESS: STREET 1: 10901 RED CIRCLE DR. STREET 2: SUITE 150 CITY: MINNETONKA STATE: MN ZIP: 55343 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 2023-11-30 0 0001500198 NEUROONE MEDICAL TECHNOLOGIES Corp NMTC 0001772652 Mertens Steve 7599 ANAGRAM DRIVE EDEN PRAIRIE MN 55344 0 1 0 0 Chief Technology Officer 0 Common Stock 2023-11-30 4 F 0 252 1.45 D 83176 D /s/ Stephanie Swan, by Power of Attorney 2023-12-04