0001144204-13-014288.txt : 20130312
0001144204-13-014288.hdr.sgml : 20130312
20130311173736
ACCESSION NUMBER: 0001144204-13-014288
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: Rule 506
FILED AS OF DATE: 20130312
DATE AS OF CHANGE: 20130311
EFFECTIVENESS DATE: 20130312
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: CNS RESPONSE, INC.
CENTRAL INDEX KEY: 0000822370
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090]
IRS NUMBER: 870419387
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0930
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-193086
FILM NUMBER: 13681940
BUSINESS ADDRESS:
STREET 1: 85 ENTERPRISE
STREET 2: SUITE 410,
CITY: ALISO VIEJO
STATE: CA
ZIP: 92656
BUSINESS PHONE: (714) 545 3288
MAIL ADDRESS:
STREET 1: 85 ENTERPRISE
STREET 2: SUITE 410,
CITY: ALISO VIEJO
STATE: CA
ZIP: 92656
FORMER COMPANY:
FORMER CONFORMED NAME: STRATIVATION, INC.
DATE OF NAME CHANGE: 20051115
FORMER COMPANY:
FORMER CONFORMED NAME: SalesTactix, Inc.
DATE OF NAME CHANGE: 20040805
FORMER COMPANY:
FORMER CONFORMED NAME: AGE RESEARCH INC
DATE OF NAME CHANGE: 19990210
D
1
primary_doc.xml
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0000822370
CNS RESPONSE, INC.
85 ENTERPRISE
SUITE 410
ALISO VIEJO
CA
CALIFORNIA
92656
(949) 420 4402
DELAWARE
Strativation, Inc.
Age Research Inc.
STRATIVATION, INC.
SalesTactix, Inc.
AGE RESEARCH INC
Corporation
true
George
Carpenter
c/o CNS Response, Inc.
85 Enterprise
Aliso Viejo
CA
CALIFORNIA
92656
Executive Officer
John
Pappajohn
c/o CNS Response, Inc.
85 Enterprise
Aliso Viejo
CA
CALIFORNIA
92656
Director
Zachary
McAdoo
c/o CNS Response, Inc.
85 Enterprise
Aliso Viejo
CA
CALIFORNIA
92656
Director
Walter
Schindler
c/o CNS Response, Inc.
85 Enterprise
Aliso Viejo
CA
CALIFORNIA
92656
Director
Paul
Buck
c/o CNS Response, Inc.
85 Enterprise
Aliso Viejo
CA
CALIFORNIA
92656
Executive Officer
Robert
Follman
c/o CNS Response, Inc.
85 Enterprise
Aliso Viejo
CA
CALIFORNIA
92656
Director
Thomas
Tierney
c/o CNS Response, Inc.
85 Enterprise
Aliso Viejo
CA
CALIFORNIA
92656
Director
Andrew
Sassine
c/o CNS Response, Inc.
85 Enterprise
Aliso Viejo
CA
CALIFORNIA
92656
Director
Richard
Turner
c/o CNS Response, Inc.
85 Enterprise
Aliso Viejo
CA
CALIFORNIA
92656
Director
Other Health Care
Decline to Disclose
- 06
false
2013-02-21
false
true
false
10000
2500000
595000
1905000
false
16
0
0
0
false
CNS RESPONSE, INC.
/s/ Paul Buck
Paul Buck
Chief Financial Officer
2013-03-11