UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 8-A
FOR REGISTRATION OF CERTAIN CLASSES OF SECURITIES
PURSUANT TO SECTION 12(b) OR 12(g) OF THE
SECURITIES EXCHANGE ACT OF 1934
CNS RESPONSE, INC.
(Exact Name of Registrant as Specified in its Charter)
Delaware | 87-0419387 | |
(State or Other Jurisdiction of Incorporation) | (I.R.S. Employer Identification Number) |
85 Enterprise, Suite 410
Aliso Viejo, CA 92656
(949) 420-4400
(Address, including Zip Code, and Telephone Number, including Area Code, of Registrant’s Principal Executive Offices)
Copy to:
Jeffrey A. Baumel, Esq.
SNR Denton US LLP
Two World Financial Center
New York, New York 10281
(212) 768-6700
________________
Securities to be registered pursuant to Section 12(b) of the Act:
Title of each class to be so registered |
Name of each exchange on which each class is to be registered |
Common Stock | NASDAQ Capital Market LLC |
If this form relates to the registration of a class of securities pursuant to Section 12(b) of the Exchange Act and is effective pursuant to General Instruction A.(c), check the following box. þ
If this form relates to the registration of a class of securities pursuant to Section 12(g) of the Exchange Act and is effective pursuant to General Instruction A.(d), check the following box. o
Securities Act registration statement file number to which this form relates: 333-173934
Securities to be registered pursuant to Section 12(g) of the Act: None
______________________________
Item 1. Description of Registrant's Securities to be Registered.
This registration statement on Form 8-A is being filed in connection with the listing of common stock, par value $0.001 per share, of CNS Response, Inc. (the “Company”) on the NASDAQ Capital Market LLC under the symbol “CNSO”. The description of the common stock of the Company is set forth in Amendment No. 4 to the Company’s Registration Statement on Form S-1 (File No. 333-173934) filed with the Securities and Exchange Commission (the “SEC”) on April 25, 2012, under the heading “Description of Capital Stock,” which description is incorporated herein by reference.
Item 2. Exhibits.
Exhibit No. | Description |
3.1 | Certificate of Incorporation, as amended. Incorporated by reference to Exhibit No. 3.1 to the Registrant’s Form 10-K for the year ended September 30, 2011 (File No. 000-26285) filed with the Commission on December 22, 2011. |
3.2 | Certificate of Amendment to the Certificate of Incorporation, as amended. Incorporated by reference to Exhibit No. 3.1 to the Registrant’s Form 8-K (File No. 000-26285) filed with the Commission on April 2, 2012. |
3.3 | Bylaws. Incorporated by reference to Exhibit No. 3.1 to the Registrant’s Form 8-K (File No. 000-26285) filed with the Commission on March 28, 2012. |
SIGNATURES
Pursuant to the requirements of Section 12 of the Securities Exchange Act of 1934, the registrant has duly caused this registration statement to be signed on its behalf by the undersigned, thereto duly authorized.
CNS RESPONSE, INC. | |
(Registrant) | |
By: /s/ Paul Buck | |
Paul Buck | |
April 26, 2012 | Chief Financial Officer |