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