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 X0706 D LIVE 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