0001615774-18-010697.txt : 20181010 0001615774-18-010697.hdr.sgml : 20181010 20181010200935 ACCESSION NUMBER: 0001615774-18-010697 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181008 FILED AS OF DATE: 20181010 DATE AS OF CHANGE: 20181010 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Smith Robin L CENTRAL INDEX KEY: 0001365035 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35527 FILM NUMBER: 181117140 MAIL ADDRESS: STREET 1: C/O PHASE III MEDICAL, INC. STREET 2: 330 SOUTH SERVICE ROAD, SUITE 120 CITY: MELVILLE STATE: NY ZIP: 11747 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MYnd Analytics, 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: 1231 BUSINESS ADDRESS: STREET 1: 26522 LA ALAMEDA STREET 2: SUITE 290 CITY: MISSION VIEJO STATE: CA ZIP: 92691 BUSINESS PHONE: (949) 420 4400 MAIL ADDRESS: STREET 1: 26522 LA ALAMEDA STREET 2: SUITE 290 CITY: MISSION VIEJO STATE: CA ZIP: 92691 FORMER COMPANY: FORMER CONFORMED NAME: CNS RESPONSE, INC. DATE OF NAME CHANGE: 20070313 FORMER COMPANY: FORMER CONFORMED NAME: STRATIVATION, INC. DATE OF NAME CHANGE: 20051115 FORMER COMPANY: FORMER CONFORMED NAME: SalesTactix, Inc. DATE OF NAME CHANGE: 20040805 4 1 s113234_form4.xml 4 X0306 4 2018-10-08 0 0000822370 MYnd Analytics, Inc. MYND 0001365035 Smith Robin L C/O MYND ANALYTICS, INC. 26522 LA ALAMEDA SUITE 290 MISSION VIEJO CA 92691 1 0 0 0 EMPLOYEE STOCK OPTION (right to purchase) 1.38 2018-10-08 4 A 0 48000 0 A 2018-10-08 2028-10-08 Common Stock 48000 48000 D On October 8, 2018, the Reporting Person was granted an option to purchase 48,000 shares of common stock under the MYnd Analytics, Inc. Amended and Restated 2012 Omnibus Incentive Compensation Plan, subject to shareholder approval of an amendment increasing the total shares available for grant thereunder. 12,000 of the options vested on the grant date, with the remainder vesting upon the satisfaction of specified performance targets. /s/ROBIN L. SMITH 2018-10-10