0001144204-13-051193.txt : 20130917 0001144204-13-051193.hdr.sgml : 20130917 20130917141159 ACCESSION NUMBER: 0001144204-13-051193 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20130917 DATE AS OF CHANGE: 20130917 EFFECTIVENESS DATE: 20130917 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CNS RESPONSE, 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: 0930 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-203013 FILM NUMBER: 131100893 BUSINESS ADDRESS: STREET 1: 85 ENTERPRISE STREET 2: SUITE 410, CITY: ALISO VIEJO STATE: CA ZIP: 92656 BUSINESS PHONE: (714) 545 3288 MAIL ADDRESS: STREET 1: 85 ENTERPRISE STREET 2: SUITE 410, CITY: ALISO VIEJO STATE: CA ZIP: 92656 FORMER COMPANY: FORMER CONFORMED NAME: STRATIVATION, INC. DATE OF NAME CHANGE: 20051115 FORMER COMPANY: FORMER CONFORMED NAME: SalesTactix, Inc. DATE OF NAME CHANGE: 20040805 FORMER COMPANY: FORMER CONFORMED NAME: AGE RESEARCH INC DATE OF NAME CHANGE: 19990210 D 1 primary_doc.xml X0706 D LIVE 0000822370 CNS RESPONSE, INC. 85 ENTERPRISE SUITE 410 ALISO VIEJO CA CALIFORNIA 92656 (949) 420-4400 DELAWARE Strativation, INC. Age Research Inc. STRATIVATION, INC. SalesTactix, Inc. AGE RESEARCH INC Corporation true George Carpenter c/o CNS Response, Inc. 85 Enterprise, Suite 410 Aliso Viejo CA CALIFORNIA 92656 Executive Officer John Pappajohn c/o CNS Response, Inc. 85 Enterprise, Suite 410 Aliso Viejo CA CALIFORNIA 92656 Director Zachary McAdoo c/o CNS Response, Inc. 85 Enterprise, Suite 410 Aliso Viejo CA CALIFORNIA 92656 Director Walter Schindler c/o CNS Response, Inc. 85 Enterprise, Suite 410 Aliso Viejo CA CALIFORNIA 92656 Director Thomas T. Tierney c/o CNS Response, Inc. 85 Enterprise, Suite 410 Aliso Viejo CA CALIFORNIA 92656 Director Richard W. Turner c/o CNS Response, Inc. 85 Enterprise, Suite 410 Aliso Viejo CA CALIFORNIA 92656 Director Robert J. Follman c/o CNS Response, Inc. 85 Enterprise, Suite 410 Aliso Viejo CA CALIFORNIA 92656 Director Andrew H. Sassine c/o CNS Response, Inc. 85 Enterprise, Suite 410 Aliso Viejo CA CALIFORNIA 92656 Director Paul Buck c/o CNS Response, Inc. 85 Enterprise, Suite 410 Aliso Viejo CA CALIFORNIA 92656 Executive Officer Other Health Care Decline to Disclose 06 false 2013-08-30 false true false 5000 2000000 221549 1778451 false 5 0 0 0 false CNS RESPONSE, INC. /s/ Paul Buck Paul Buck Chief Financial Officer 2013-09-17