0001193125-18-356081.txt : 20181221 0001193125-18-356081.hdr.sgml : 20181221 20181221143456 ACCESSION NUMBER: 0001193125-18-356081 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20181221 DATE AS OF CHANGE: 20181221 SUBJECT COMPANY: 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 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-87476 FILM NUMBER: 181249012 BUSINESS ADDRESS: STREET 1: 10006 LIATRIS LANE CITY: EDEN PRAIRIE STATE: MN ZIP: 55347 BUSINESS PHONE: (952) 237-7412 MAIL ADDRESS: STREET 1: 10006 LIATRIS LANE CITY: EDEN PRAIRIE STATE: MN ZIP: 55347 FORMER COMPANY: FORMER CONFORMED NAME: Original Source Entertainment, Inc. DATE OF NAME CHANGE: 20100830 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: MAYO FOUNDATION FOR MEDICAL EDUCATION & RESEARCH CENTRAL INDEX KEY: 0000897680 IRS NUMBER: 000000000 FILING VALUES: FORM TYPE: SC 13G FORMER COMPANY: FORMER CONFORMED NAME: MAYO FOUNDATION DATE OF NAME CHANGE: 19930222 SC 13G 1 d673719dsc13g.htm SC 13G SC 13G

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

Schedule 13G

Under the Securities Exchange Act of 1934

(Amendment No.     )

 

 

NeuroOne Medical Technologies Corporation

(Name of Issuer)

Common Stock, par value $0.001 par value

(Title of Class of Securities)

64130M 10 0

(CUSIP Number)

July 20, 2017

(Date of Event Which Requires Filing of this Statement)

 

 

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

☐ Rule 13d-1(b)

☒ Rule 13d-1(c)

☐ Rule 13d-1(d)

 

 

 


CUSIP NO. 64130M 10 0    Page 2 of 5

 

  1.    

Name of reporting persons:

I.R.S. Identification Nos. of above persons (entities only):

 

Mayo Foundation for Medical Education and Research

  2.  

Check the appropriate box if a member of a group:

(a)  ☐        (b)  ☐

 

  3.  

SEC use only:

 

  4.  

Citizenship or place of organization:

 

State of Minnesota

Number of

shares

beneficially

owned by

each

reporting

person

with:

   5.     

Sole voting power:

 

859,976

   6.   

Shared voting power:

 

-0-

   7.   

Sole dispositive power:

 

859,976

   8.   

Shared dispositive power:

 

-0-

  9.    

Aggregate amount beneficially owned by each reporting person:

 

859,976 (see Item 4)

10.  

Check if the aggregate amount in Row (9) excludes certain shares

 

11.  

Percent of class represented by amount in Row 9:

 

10.9% (1)

12.  

Type of reporting person:

 

OO

 

(1)

Based on 7,864,991 shares of Common Stock issued and outstanding as of closing as reported in the Issuer’s Form 10-K filed on July , 2017.


CUSIP NO. 64130M 10 0    Page 3 of 5

 

Item 1(a).

Name of issuer:

 

    

NeuroOne Medical Technologies Corporation

 

Item 1(b).

Address of issuer’s principal executive offices:

 

    

10003 Liatris Land

    

Eden Prairie, MN 55347

 

Item 2(a).

Names of person filing:

 

    

Mayo Foundation for Medical Education and Research

 

Item 2(b).

Address of principal business office:

 

    

200 First Street SW

    

Rochester, MN 55905

 

Item 2(c).

Citizenship:

 

    

Citizenship is set forth in Row 4 of the cover page for the Reporting Person and is incorporated herein by reference.

 

Item 2(d).

Title of class of securities:

 

    

Common Stock, par value $0.001 per share

 

Item 2(e).

CUSIP No.:

 

    

64130M 10 0

 

Item 3.

If this statement is filed pursuant to Secs. 240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:

 

    

Not Applicable

 

Item 4.

Ownership

 

  (a)

Amount beneficially owned: 859,976

 

  (b)

Percent of class: 10.9%

 

  (c)

Number of shares as to which the person has:

 

  (i)

Sole power to vote or to direct the vote: 859,976

 

  (ii)

Shared power to vote or to direct the vote: -0-

 

  (iii)

Sole power to dispose or to direct the disposition of: 859,976

 

  (iv)

Shared power to dispose or to direct the disposition of: -0-


CUSIP NO. 64130M 10 0    Page 4 of 5

 

On July 20, 2017, pursuant to an Agreement and Plan of Merger and Reorganization dated July 20, 2017 (the “Merger Agreement”) by and among the Issuer, OSOK Acquisition Company and NeuroOne, NeuroOne became the wholly-owned subsidiary of the Issuer (the “Merger”). Pursuant to the terms of the Merger Agreement, each issued and outstanding share of common stock of NeuroOne, par value $0.0001 per share, or the NeuroOne Shares, were exchanged for 17.0103706 shares of Common Stock. Accordingly, the Reporting Person received from the Issuer 859,976 shares of Common Stock as consideration for its NeuroOne Shares in connection with the Merger.

Mayo Clinic, a Minnesota corporation (Mayo), is the controlling corporation of the Reporting Person and is included solely due to its control of the Reporting Person. Mayo disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that Mayo is the beneficial owner of the securities for purposes of Section 13 or any other purpose.

 

Item 5.

Ownership of 5 percent or Less of a Class:

 

    

Not Applicable.

 

Item 6.

Ownership of More than 5 Percent on Behalf of Another Person:

 

    

Not Applicable.

 

Item 7.

Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company or Control Person:

 

    

Not Applicable.

 

Item 8.

Identification and Classification of Members of the Group:

 

    

Not Applicable.

 

Item 9.

Notice of Dissolution of Group:

 

    

Not Applicable.

 

Item 10.

Certifications

By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.


CUSIP NO. 64130M 10 0    Page 5 of 5

 

Signature

After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.

Dated: December 19, 2018

 

Mayo Foundation for Medical Education
and Research
By:  

/s/ Harry N. Hoffman

Name:   Harry N. Hoffman
Title:   Co-Chief Investment Officer