0001701627-17-000001.txt : 20170322 0001701627-17-000001.hdr.sgml : 20170322 20170322154250 ACCESSION NUMBER: 0001701627-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170322 DATE AS OF CHANGE: 20170322 EFFECTIVENESS DATE: 20170322 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MIVI Neuroscience, Inc. CENTRAL INDEX KEY: 0001701627 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-283104 FILM NUMBER: 17706643 BUSINESS ADDRESS: STREET 1: 6545 CITY WEST PARKWAY CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 BUSINESS PHONE: (952) 944-3834 MAIL ADDRESS: STREET 1: 6545 CITY WEST PARKWAY CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 D 1 primary_doc.xml X0707 D LIVE 0001701627 MIVI Neuroscience, Inc. 6545 CITY WEST PARKWAY EDEN PRAIRIE MN MINNESOTA 55344 (952) 944-3834 DELAWARE None None Corporation true 2014 Matthew Ogle 6545 City West Parkway Eden Prairie MN MINNESOTA 55344 Executive Officer Director President & CEO Benjamin Constable 6545 City West Parkway Eden Prairie MN MINNESOTA 55344 Director George Fazio 6545 City West Parkway Eden Prairie MN MINNESOTA 55344 Director John O'Meara 6545 City West Parkway Eden Prairie MN MINNESOTA 55344 Director Other Health Care Decline to Disclose 06b false 2017-03-17 false true false 0 849600 849600 0 false 14 0 0 0 false MIVI Neuroscience, Inc. /s/ Matthew Ogle Matthew Ogle President & CEO 2017-03-22