X0306 4 2013-08-12 0 0000822370 CNS RESPONSE, INC. CNSO 0000897464 PAPPAJOHN JOHN C/O CNS RESPONSE, INC. 85 ENTERPRISE SUITE 410 ALISO VIEJO CA 92656 1 0 1 0 Common Stock 2013-08-12 4 M 0 7318228 0.25 A 18459957 D Convertible Note 0.25 2013-08-12 4 M 0 1511688 D 2010-10-01 2014-10-01 Common Stock 1511688 0 D Three notes in the aggregate principal amount of $761,688 were purchased by the Reporting Person on October 1, 2010 pursuant to a Note and Warrant Purchase Agreement, dated as of October 1, 2010, between the Company and the investors party thereto. These notes were exercisable as of October 1, 2010. An additional three notes in the aggregate principal amount of $750,000 were purchased by the Reporting Person pursuant to an Amended and Restated Note and Warrant Purchase Agreement, dated as of November 11, 2011, between the Company and the investors party thereto. This second set of notes was exercisable starting during the November through December period of 2011. On August 12, 2013, the Reporting Person converted $1,511,688 in aggregate principal amount of the six notes, with accrued interest thereon of $317,869, at a conversion price of $0.25 per share of common stock (reduced from the previous conversion price of $1.00). /s/ John Pappajohn 2013-08-14