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
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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