0001837830-22-000001.txt : 20220204 0001837830-22-000001.hdr.sgml : 20220204 20220204183747 ACCESSION NUMBER: 0001837830-22-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220203 FILED AS OF DATE: 20220204 DATE AS OF CHANGE: 20220204 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: McClurg Ronald W. CENTRAL INDEX KEY: 0001837830 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40439 FILM NUMBER: 22595054 MAIL ADDRESS: STREET 1: C/O NEUROONE MEDICAL TECHNOLOGIES CORP STREET 2: 7599 ANAGRAM DR CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 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 2022-02-03 0 0001500198 NEUROONE MEDICAL TECHNOLOGIES Corp NMTC 0001837830 McClurg Ronald W. C/O NEUROONE MEDICAL TECHNOLOGIES CORP 7599 ANAGRAM DR EDEN PRAIRIE MN 55344 0 1 0 0 Chief Financial Officer Common Stock 2022-02-03 4 A 0 15000 0 A 15000 D Represents a grant of restricted stock units, which vest as to 50% of the shares on the first anniversary of the grant date, with the remaining shares vesting in equal monthly installments on the last day of each month over the next 24 months, subject to continued service on such vesting date. /s/ Stephanie Swan, by Power of Attorney 2022-02-04