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4//SEC Filing

Buck Paul 4

Accession 0001144204-12-068505

CIK 0000822370other

View on SEC.gov Company Profile

Filed

Dec 17, 7:00 PM ET

Accepted

Dec 18, 5:28 PM ET

Size

5.0 KB

Accession

0001144204-12-068505

Insider Transaction Report

Form 4

Period: 2012-11-28

CNS RESPONSE, INC.CNSO

CFO

Transactions

Award
Common Stock
2012-11-27$1.00/sh+66,083$66,083→ 148,767 total

Footnotes (1)

[F1]Stock was acquired pursuant to a Compensation Forfeiture and Exchange Agreement whereby $66,083 of accrued and unpaid salary was forfeited in exchange for 66,083 shares of common stock.

Documents

1 file

4
v330509_form4.xmlPrimary
OWNERSHIP DOCUMENT

Issuer

CNS RESPONSE, INC.

CIK 0000822370

Entity typeother

Related Parties

1

filerCIK 0001484859

Filing Metadata

Form type: 4
Filed: Dec 17, 7:00 PM ET
Accepted: Dec 18, 5:28 PM ET
Size: 5.0 KB

View on SEC.gov