UNITED
STATES
SECURITIES
AND EXCHANGE COMMISSION
Washington,
D.C. 20549
FORM
8-K
CURRENT
REPORT
Pursuant
to Section 13 or 15(d) of the Securities Exchange Act of 1934
Date of
Report (Date of Earliest Event Reported): August
28, 2009 (August 26,
2009)
CNS
RESPONSE, INC.
(Exact
name of Company as specified in its charter)
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Delaware
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0-26285
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87-0419387
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(State
or other
jurisdiction
of
incorporation)
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(Commission
File No.)
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(I.R.S.
Employer
Identification
No.)
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2755
Bristol Street, Suite 285,
Costa
Mesa, CA 92626
(Address
of principal executive offices)
(714)
545-3288
Registrant’s
telephone number, including area code
Not
Applicable
(Former
name or former address, if changed since last report.)
Check the
appropriate box below if the Form 8-K filing is intended to simultaneously
satisfy the filing obligation of the registrant under any of the following
provisions:
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Written
communications pursuant to Rule 425 under the Securities Act (17 CFR
230.425)
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Soliciting
material pursuant to Rule 14a-12 under the Exchange Act (17 CFR
240.14a-12)
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o
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Pre-commencement
communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR
240.14d-2(b))
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Pre-commencement
communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR
240.13e-4(c))
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Item
1.01 Entry into a Material Definitive Agreement.
Item
3.02 Unregistered Sales of Equity Securities.
Private Placement
Transaction
On August 26, 2009, CNS Response, Inc.
(the “Company”) received gross proceeds of approximately $2,000,000 in a private
placement transaction (the “Private Placement”) with six accredited
investors. Pursuant to Subscription Agreements entered into with the
investors, the Company sold approximately 38 Investment Units at $54,000 per
Investment Unit. Each “Investment Unit” consists of 180,000 shares of
the Company’s common stock and a five year non-callable warrant to purchase
90,000 shares of the Company’s common stock at an exercise price of $0.30 per
share. After commissions and expenses, the Company received net
proceeds of approximately $1,825,000 in the Private Placement. The
Company intends to use the proceeds from the Private Placement for general
corporate purposes, including clinical trial expenses, research and development
expenses, and general and administrative expenses.
A FINRA member firm acted as lead
placement agent (the “Placement Agent”) in connection with the Private
Placement. For its services in connection with the Private Placement,
the Placement Agent received (i) a cash fee of $55,980, (ii) a cash expense
allowance of $40,860, and (iii) a five year non-callable warrant to purchase
681,000 shares of the Company’s common stock at an exercise price of $0.33 per
share, first exercisable no earlier than February 26, 2009.
Pursuant to a Registration Rights
agreement entered into with each investor, the Company agreed to file a
registration statement covering the resale of the common stock and the common
stock underlying the warrants sold in the Private Placement, as well as the
common stock underlying the warrants issued to the Placement
Agent. In addition, the Company agreed to use its best efforts to
have the registration statement declared effective no later than 180 days
following the closing of the offering and maintain such effectiveness until the
earlier of the second anniversary of the date of such effectiveness or the date
that all of the securities covered by the registration statement may be sold
without restriction.
In
issuing the shares and warrants to the investors without registration under the
Securities Act of 1933, as amended (the “Securities Act”), the Company relied
upon one or more of the exemptions from registration contained in Sections 4(2)
of the Securities Act, and in Regulation D promulgated thereunder, as the shares
and warrants were issued to accredited investors, without a view to
distribution, and were not issued through any general solicitation or
advertisement. The Company made this determination based on the representations
of each investor which included, in pertinent part, that such investor is an
“accredited investor” within the meaning of Rule 501 of Regulation D promulgated
under the Securities Act, that such investor was acquiring the shares and the
warrant for investment purposes for its own account, and not with a view to, or
for resale in connection with, any distribution or public offering thereof
within the meaning of the Securities Act, and that such investor understood that
the shares, the warrant and the securities issuable upon exercise thereof may
not be sold or otherwise disposed of without registration under the Securities
Act or an applicable exemption therefrom.
The
discussion under the heading “John Pappajohn” discussed under Item 5.02 below is
hereby incorporated by reference under Item 1.01.
This announcement
does not constitute an offer to sell or the solicitation of an offer to buy nor
will there be any sale of these securities in any state or jurisdiction in which
such offer, solicitation or sale would be unlawful prior to registration or
qualification under the securities laws of such state or
jurisdiction.
Events Relating to Private
Placement Transaction
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(a)
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Conversion
of March Notes
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On March
30, 2009, the Company entered into two Senior Secured Convertible Promissory
Notes, each in the principal amount of $250,000 (each a “March Note” and,
collectively, the “March Notes”), with Brandt Ventures, GP (“Brandt”) and SAIL
Venture Partners, LP (“SAIL”). Leonard Brandt, a member of the Company’s board
of directors, is the general partner of Brandt and David B. Jones, also a member
of the Company’s board of directors, is a managing member of Sail Venture
Partners, LLC, which is the general partner of SAIL. The terms of the March
Notes provided that in the event the Company consummates an equity financing
transaction of at least $1,500,000 (excluding any and all other debt that is
converted), then the principal and all accrued, but unpaid interest outstanding
under the notes shall be automatically converted into the securities issued in
the equity financing by dividing such amount by 90% of the per share price paid
by the investors in such financing. In accordance with the terms of
the March Notes, at the closing of the Private Placement, the Company issued to
each of Brandt and SAIL 956,164 shares of common stock and a five year
non-callable warrant to purchase 478,082 shares of its common stock at an
exercise price of $0.30 per share.
(b) Conversion
of May SAIL Note
On May 14, 2009, the Company entered
into a Bridge Note and Warrant Purchase Agreement (the “SAIL Purchase
Agreement”) with SAIL. Pursuant to the SAIL Purchase Agreement, on May 14, 2009
SAIL purchased a Secured Promissory Note in the principal amount of $200,000
from the Company (the “May SAIL Note”). The terms of the May SAIL Note provided
that in the event the Company consummates an equity financing transaction of at
least $1,500,000 (excluding any and all other debt that is converted), then the
principal and all accrued, but unpaid interest outstanding under the note shall
be automatically converted into the securities issued in the equity financing by
dividing such amount by 85% of the per share price paid by the investors in such
financing. In accordance with the terms of the May SAIL Note, at the
closing of the Private Placement, the Company issued to SAIL 802,192 shares of
its common stock and a five year non-callable warrant to purchase 401,096 shares
of its common stock at an exercise price of $0.30 per share.
(c) Conversion
of Pappajohn Note
On June
12, 2009, Mr. Pappajohn entered into a Bridge Note and Warrant Purchase
Agreement (the “Pappajohn Purchase Agreement”) with the
Company. Pursuant to the Pappajohn Purchase Agreement, Mr. Pappajohn
purchased a Secured Convertible Promissory Note in the principal amount of
$1,000,000 from the Company. In order to induce Mr. Pappajohn to
purchase the note, the Company issued to Mr. Pappajohn a warrant to purchase up
to 3,333,333 shares of the Company’s common stock at a purchase price equal to
$0.30 per share. The warrant expires on June 30, 2016.
The note
issued pursuant to the Pappajohn Purchase Agreement provided that the principal
amount of $1,000,000 together with a single payment of $90,000 (the “Premium
Payment”) would be due and payable, unless sooner converted into shares of the
Company’s common stock (as described below), upon the earlier to occur of: (i) a
declaration by Mr. Pappajohn on or after June 30, 2010 or (ii) an Event of
Default (as defined in the note). The note was secured by a lien on
substantially all of the assets (including all intellectual property) of the
Company. In the event of a liquidation, dissolution or winding up of
the Company, unless Mr. Pappajohn informed the Company otherwise, the Company
was required to pay Mr. Pappajohn an amount equal to the product of 250%
multiplied by the then outstanding principal amount of the note and the Premium
Payment.
The
Pappajohn Purchase Agreement also provided that in the event the Company
consummated an equity financing transaction of at least $1,500,000 (excluding
any and all other debt that is converted), the then outstanding principal amount
of the note (but excluding the Premium Payment, which would be repaid in cash at
the time of such equity financing) would be automatically converted into the
securities issued in the equity financing by dividing such amount by the per
share price paid by the investors in such financing. The note also
provided that the securities issued upon conversion of the note would be
otherwise issued on the same terms as such shares are issued to the lead
investor that purchases shares of the Company in the qualified
financing.
At the
closing of the Private Placement, the Company paid the Premium Payment to Mr.
Pappajohn, and the outstanding principal amount of Mr. Pappajohn’s note
($1,000,000 as of August 26, 2009) converted into 3,333,334 shares of the
Company’s common stock. In addition, in accordance with the terms of his note,
Mr. Pappajohn was issued a five year non-callable warrant to purchase 1,666,667
shares of the Company’s common stock at an exercise price of $0.30 per
share.
In
issuing the shares and warrants in connection with the note conversions
described above without registration under the Securities Act, the Company
relied upon one or more of the exemptions from registration contained in
Sections 4(2) of the Securities Act, and in Regulation D promulgated thereunder,
as such shares and warrants were issued to accredited investors, without a view
to distribution, and were not issued through any general solicitation or
advertisement. The Company made this determination based on the representations
of each note holder which included, in pertinent part, that such note holder is
an “accredited investor” within the meaning of Rule 501 of Regulation D
promulgated under the Securities Act, that such note holder was acquiring the
shares and the warrant for investment purposes for its own account, and not with
a view to, or for resale in connection with, any distribution or public offering
thereof within the meaning of the Securities Act, and that such note holder
understood that the shares, the warrant and the securities issuable upon
exercise thereof may not be sold or otherwise disposed of without registration
under the Securities Act or an applicable exemption therefrom.
Item
5.02 Departure of Directors or Certain Officers; Election of Directors;
Appointment of Certain Officers; Compensatory Arrangements of Certain
Officers.
Following
the closing of the Private Placement, the Company expanded the size of its Board
of Directors to seven members, and appointed John Pappajohn and Tommy G.
Thompson to fill the existing vacancies existing on its Board. Mr.
Pappajohn and Mr. Thompson will hold office until the next annual meeting of
stockholders or until their respective successors have been elected and
qualified.
John
Pappajohn
John
Pappajohn has,
since 1969, been the President and sole owner of Pappajohn Capital Resources, a
venture capital firm, and President and sole owner of Equity Dynamics, Inc., a
financial consulting firm, both located in Des Moines, Iowa. He serves as a
director on the boards of the following public companies: American CareSource
Inc., Dallas, TX since 1994; since 1996; PharmAthene, Inc., Annapolis, MD.,
since 2007; Spectrascience, Inc., San Diego, CA, since 2007; CareGuide, Inc.,
Florida, (formerly Patient Infosystems, Inc.), since 1996; and ConMed Healthcare
Management, Inc., Hanover, MD since 2005.
Prior to
his appointment as a director, in addition to his purchase of a secured
convertible promissory note for $1,000,000 as described above, on August 26,
2009, Mr. Pappajohn invested $1,000,000 in our Private Placement. In
exchange for his additional investment of $1,000,000 in the Private Placement,
Mr. Pappajohn was issued 3,333,334 shares of the Company’s common stock, and a
five (5) year non-callable warrant to purchase 1,666,667 shares of the Company’s
common stock at an exercise price of $0.30 per share. As an investor
in the Private Placement, Mr. Pappajohn will receive the registration rights
described above.
The
discussion under the heading “Events Relating to Private Placement Transaction-
(c) Conversion of Pappajohn Note” discussed under Items 1.01 and 3.02 above is
hereby incorporated by reference under this Item 5.02.
Tommy G.
Thompson
Tommy Thompson, the former Health and
Human Services Secretary and four-term Governor of Wisconsin is a partner at the
law firm of Akin Gump Strauss Hauer & Feld. He serves on the boards of CR
Bard and Centene Corporation, both which are public companies, and is Chairman
of AGA Medical Corporation, a privately-held company. Thompson served as HHS
Secretary from 2001 to 2005 and is one of the nation's leading advocates for the
health and welfare of all Americans. He is the 19th individual to serve as
Secretary of the department, which employs more than 60,000 personnel and has a
fiscal year 2005 budget of $584 billion. Thompson has dedicated his professional
life to public service and served as Governor of Wisconsin from 1987 to 2001.
Thompson was reelected to office for a third term in 1994 and a fourth term in
1998. At HHS, Thompson led the Administration’s efforts to pass and implement a
new Medicare law that is for the first time providing a drug benefit to
America’s seniors. As governor, Thompson created the nation's first parental
school choice program in 1990, allowing lowincome Milwaukee families to send
children to the private or public school of their choice. He created Wisconsin's
Council on Model Academic Standards, which implemented high academic standards
for English language arts, math, science and social studies. Thompson began his
career in public service in 1966 as a representative in Wisconsin's state
Assembly. He was elected assistant Assembly minority leader in 1973 and Assembly
minority leader in 1981. Thompson has received numerous awards for his public
service, including the Anti-Defamation League's Distinguished Public Service
Award. In 1997, Thompson received Governing Magazine's Public Official of the
Year Award, and the Horatio Alger Award in 1998. Thompson served as chairman of
the National Governors' Association, the Education Commission of the States and
the Midwestern Governors' Conference. Thompson also served in the Wisconsin
National Guard and the Army Reserve.
SIGNATURES
Pursuant
to the Securities Exchange Act of 1934, as amended, the registrant has duly
caused this report to be signed on its behalf by the undersigned hereunto duly
authorized.
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CNS
Response, Inc.
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By:
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/s/
George Carpenter
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August 28,
2009
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George
Carpenter
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Chief
Executive Officer
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