CNS
RESPONSE, INC.
2755
Bristol Street, Suite 285
Costa
Mesa, CA 92626
September
15, 2009
Dear
Stockholder:
You are
cordially invited to attend the annual meeting of stockholders of CNS Response,
Inc. to be held on Tuesday, September 29, 2009 at 10:00 a.m., local time,
at the Island Hotel, 690 Newport Center Drive, Newport
Beach, California 92660. This meeting is very important. At this meeting,
CNS stockholders will vote to elect six directors to serve until the next annual
meeting of stockholders or until their successors are elected and
qualified. We have proposed a slate of director nominees consisting
of six of our current directors, including Tommy Thompson and John Pappajohn,
who just recently joined our board following the $2 million initial closing
of our private placement. We are very excited to have added Messrs.
Thompson and Pappajohn as directors at this critical time in CNS’s
development.
I hope
you will be able to attend the annual meeting in person. We consider
the votes of all of our stockholders to be important, whether you own a few
shares or many. Whether or not you plan to attend, please vote your shares as
soon as possible, following the instructions on the enclosed WHITE proxy
card. This will ensure that your shares are represented at the
meeting whether or not you are able to attend in person. Of course,
if you do attend the meeting and wish to vote in person, you may do
so.
As you
may know, CNS’s former CEO, Leonard J. Brandt, has been waging a campaign to try
to remove our current directors and elect himself and his own nominees either at
a stockholder meeting or through an action by written consent without a
meeting. He claims to have held a stockholder meeting on September 4, but
it is our position that Mr. Brandt's purported actions were invalid for a number
of reasons, including the fact that those actions were not permitted under our
bylaws. At this time, we do not know if he will attempt to nominate a slate
of directors or solicit proxies in connection with our annual meeting
or whether he is continuing to solicit consents to remove our current directions
and elect himself and his own nominees. If he does solicit proxies, we
expect that he will either oppose our slate of directors, attempt to nominate
himself and his own nominees, or both. Our board of directors believes that it
is in the best interests of CNS and its stockholders to elect our nominees and
reject Mr. Brandt’s attempts to seize control. If you wish to elect
our nominees, you should only vote using the WHITE proxy card that we are
sending you. These matters are more fully described in the accompanying proxy
statement.
OUR BOARD
OF DIRECTORS RECOMMENDS THAT YOU VOTE “FOR” THE ELECTION OF OUR
DIRECTOR NOMINEES.
Your vote is extremely
important. You may vote by proxy by mail, fax or email by completing,
signing, dating and returning the WHITE proxy card in the
postage-paid envelope provided or by scanning or faxing the proxy card to CNS at
the email address and fax numbers indicated in the proxy statement. You may
revoke your proxy at any time before it is exercised at our annual
meeting.
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Very
truly yours,
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/s/
George Carpenter
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George
Carpenter
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Chairman
of the Board of Directors and
Chief
Executive Officer
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CNS
RESPONSE, INC.
2755
Bristol Street, Suite 285
Costa
Mesa, CA 92626
NOTICE
OF ANNUAL MEETING OF STOCKHOLDERS
NOTICE IS
HEREBY GIVEN that the Annual Meeting of Stockholders of CNS Response, Inc.
(“CNS”) will be held at the Island Hotel, 690 Newport Center Drive, Newport
Beach, California 92660 on Tuesday, September 29, 2009 at
10:00 a.m., local time for the purpose of considering and acting on the
following matters:
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1.
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To
elect six directors to serve until the next annual meeting of stockholders
or until their respective successors are elected and
qualified.
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2.
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To
transact such other business as may properly come before the meeting or
any adjournment thereof.
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These
items are more fully described in the proxy statement accompanying this
Notice.
The board
of directors has fixed the close of business on Thursday, August 27, 2009 as the
record date for determining CNS stockholders entitled to notice of and to vote
at the annual meeting and any adjournment or postponement thereof.
Your vote is extremely
important. All CNS stockholders are cordially invited to
attend the annual meeting in person. Whether or not you plan to
attend in person, you are urged to mark, date, sign and return the enclosed
WHITE proxy card as
promptly as possible in the postage-prepaid envelope provided, or scan or fax
your completed proxy card to the email address and fax numbers indicated in the
proxy statement – this will ensure that your CNS shares are represented and that
a quorum is present at the annual meeting. If you submit your proxy
and then decide to attend the annual meeting and wish to vote your shares in
person, you may still do so. Your proxy is revocable in accordance with the
procedures identified in the accompanying proxy statement. Only CNS stockholders
of record at the close of business on Thursday, August 27, 2009 are entitled to
notice of, to attend and to vote at, the annual meeting.
As you
may know, CNS’s former CEO, Leonard J. Brandt, has been soliciting proxies and
written consents in an attempt to remove our current directors and elect himself
and his own nominees. He claims
to have held a stockholder meeting on September 4, but it is our position that
Mr. Brandt’s purported actions were invalid for a number of reasons, including
the fact that those actions were not permitted under our bylaws. At this time,
we do not know if he will attempt to nominate a slate of directors or solicit
proxies in connection with our annual meeting or whether he is continuing to
solicit consents to remove our current directors and elect himself and his own
nominees. If he does solicit proxies, we expect that he will either
oppose our slate of directors, attempt to nominate himself and his own nominees,
or both.
Any
communications you may receive from Mr. Brandt are not communications made,
authorized or endorsed by CNS. Although Mr. Brandt is currently a CNS
director, he is not being nominated by CNS to be elected as a director at the
annual meeting and his communications are made solely in his capacity as a CNS
stockholder. You should not consider any communication from him or
any statement made by him as being a statement by or on behalf of CNS or our
board of directors. You should assume that any contact he makes with
you is in his capacity as a stockholder, not as a director or representative of
CNS. THE BOARD OF
DIRECTORS RECOMMENDS A VOTE “FOR” THE ELECTION OF THE BOARD’S NOMINEES
IDENTIFIED ON THE ENCLOSED WHITE PROXY CARD.
Important Notice Regarding Internet
Availability Of Proxy Materials For The Annual Meeting Of
Stockholders: This proxy statement, the accompanying
form of proxy card and CNS’s Annual Report (the “Annual Report”) are
available at www.cnsresponse.com. Pursuant to Securities and Exchange
Commission rules, we are providing you access to our proxy materials both by
sending you this full set of proxy materials and by notifying you of the
availability of our proxy materials on the Internet.
If you
have any questions or require any assistance with voting your shares, please
contact:
George
Carpenter, CEO
CNS Response, Inc.
gcarpenter@cnsresponse.com
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By
order of the Board of Directors,
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/s/
George Carpenter
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George
Carpenter
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Secretary
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Costa
Mesa, California
September
15, 2009
IMPORTANT:
Whether or not you expect to attend the annual meeting in person, we urge you to
submit a completed WHITE proxy card to vote your shares. This will
help ensure the presence of a quorum at the annual meeting. Promptly
voting your shares will help to save CNS the expense of additional
solicitations. As described in the accompanying proxy statement,
submitting your WHITE proxy card now will not prevent you from voting your
shares at the annual meeting if you desire to do so.
TABLE
OF CONTENTS
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PAGE
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ABOUT
THE MEETING
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1
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BACKGROUND
OF THE SOLICITATION
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2
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QUESTIONS
AND ANSWERS REGARDING THE ANNUAL MEETING
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3
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PROPOSAL NO.
1 – ELECTION OF DIRECTORS
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8
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INFORMATION
REGARDING THE BOARD OF DIRECTORS AND COMMITTEES AND COMPANY
MANAGEMENT
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9
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Director
Nominees
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9
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Other
Executive Officers
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10
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Board
Composition and Committees and Director Independence
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11
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Further
Information Concerning the Board of Directors
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11
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Compensation
of Directors and Officers
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12
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Stockholder
Communication
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12
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Code
of Ethics
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12
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EXECUTIVE
COMPENSATION
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13
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Compensation
Discussion and Analysis
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13
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Summary
Compensation Table
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15
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Grant
of Plan Based Awards in the Fiscal Year Ending September 30,
2008
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16
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Narrative
Disclosure to Summary Compensation Table and Grants of Plan-Based Awards
Table
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17
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Employment
Agreements
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17
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2006
Stock Incentive Plan |
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18 |
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Outstanding
Equity Awards at Fiscal Year End 2008
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18
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Director
Compensation
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19
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Securities
Authorized for Issuance Under Equity Compensation Plans
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20
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TRANSACTIONS
WITH RELATED PERSONS, PROMOTERS OR CERTAIN CONTROL PERSONS
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21
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AUDIT
RELATED MATTERS
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26
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Report
of Board of Directors on Audit Committee Functions
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26
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Services
Provided by the Independent Auditors
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27
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Pre-Approval
Policies and Procedures
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27
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Fees
Paid to Independent Registered Public Accounting Firm
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27
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SECURITY
OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND
MANAGEMENT
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28
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OTHER
MATTERS
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30
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Purported
September 4 Stockholders Meeting |
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30
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Section
16(a) Beneficial Ownership Reporting Compliance
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31
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Stockholder
Proposals
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31
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Solicitation
of Proxies
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31
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Annual
Report on Form 10-K
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31
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APPENDIX
I – INFORMATION CONCERNING PERSONS WHO MAY
ASSIST
IN THE SOLICITATION OF PROXIES BY THE COMPANY
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32
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_________________________________________________________
THIS
PROXY STATEMENT ALSO INCLUDES THE WHITE PROXY CARD FOR YOUR USE IN
VOTING
FOR THE ELECTION OF DIRECTORS.
_________________________________________________________
CNS
RESPONSE, INC.
2755
Bristol Street, Suite 285
Costa
Mesa, CA 92626
_________________________________________
PROXY
STATEMENT
_________________________________________
ANNUAL
MEETING OF STOCKHOLDERS
TO
BE HELD SEPTEMBER 29, 2009
_________________________________________
ABOUT
THE MEETING
This
proxy statement is furnished in connection with the solicitation of proxies by
the board of directors of CNS Response, Inc. (“CNS,” the “Company,”
“we,” “our,” or “us”) for use in connection with CNS’s annual meeting of
stockholders (the “annual meeting” or the “meeting”), to be held on Tuesday,
September 29, 2009 at 10:00 a.m., local time, at the Island Hotel
in Newport Beach, California, and any adjournment or postponement
thereof. This proxy statement, the enclosed WHITE proxy card
and the Company’s 2008 Annual Report to Stockholders are being sent to
stockholders entitled to vote at the annual meeting.
At the
annual meeting, stockholders of record as of August 27, 2009 will be entitled to
vote in the election of directors. Our nominees for director
are:
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Ÿ George
Carpenter
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Ÿ John
Pappajohn
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Ÿ Henry
Harbin, M.D.
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Ÿ Tommy
Thompson
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Ÿ David
B. Jones
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Ÿ Jerome
Vaccaro, M.D.
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All of
our nominees are currently serving as CNS directors, and Messrs. Pappajohn and
Thompson just recently joined the board. Mr. Pappajohn has recently
made significant investments in CNS and has more than 40 years’ experience as an
investor in life sciences and healthcare related companies and serves as a
member of the board of directors of a number of growing healthcare-related
companies. Mr. Thompson is the former Secretary of the U.S.
Department of Health and Human Services, a four-term governor of Wisconsin, and
is one of the nation's leading advocates for the health and welfare of all
Americans. Their biographies, along with the biographies of our other
nominees, are included later in this proxy statement.
We have
determined not to nominate Leonard J. Brandt for election as a
director. As you know, Mr. Brandt, who currently serves as a CNS
director, was removed by the board as the Company’s Chief Executive Officer in
April 2009. Since that time he has been waging a campaign to unseat
our other directors and replace them with himself and his own
nominees. He has already attempted to call purported special
meetings eight times since June and has solicited proxies and written
consents in connection with those purported meetings. He also claims
to have taken action at a purported stockholder meeting on September 4, but
it is our position that those purported actions were invalid for a number of
reasons, including the fact that those actions were not permitted under our
bylaws. At this time, we
do not know if he will attempt to nominate a slate of directors or solicit
proxies in connection with our annual meeting or whether he is continuing to
solicit consents to remove our current directors and elect himself and his own
nominees. If he does, we expect that he will either oppose our slate of
directors, attempt to nominate himself and his own nominees, or both.
Additional details concerning Mr. Brandt’s activities are discussed
elsewhere in this proxy statement.
Our board
of directors believes that it is in the best interest of CNS and its
stockholders to elect the nominees identified above. In the event
that Mr. Brandt attempts to propose himself and his own nominees for
election, we intend to oppose the election of Mr. Brandt and any of his
director nominees and any we also intend to oppose attempt by him to cause
the removal of our current directors through action by written
consent. THEREFORE,
OUR BOARD OF DIRECTORS RECOMMENDS THAT YOU VOTE “FOR” THE ELECTION OF OUR
DIRECTOR NOMINEES AND URGES YOU TO RETURN THE WHITE PROXY CARD AS SOON AS
POSSIBLE.
BACKGROUND
OF OUR SOLICITATION
We have
called our annual meeting and proposed the election of six nominees for
director. We believe these nominees will provide the type of
leadership that will help CNS move forward as we enter a critical phase in CNS’s
growth and development.
As you
know, CNS made an important change in April 2009 when the board of directors
dismissed Leonard J. Brandt as our CEO and replaced him with George Carpenter,
who had been serving as our President. The board decided to make this
change for a number of reasons, but the primary reasons were Mr. Brandt's
repeated failures to secure financing, his shortcomings as a manager, and a
fundamental disagreement between the other directors and Mr. Brandt regarding
the Company’s strategy. Mr. Brandt, after 12 months of being
unsuccessful in his efforts to secure acceptable financing for CNS, recommended
to the board that we reduce staff, discontinue payroll, notify our clinical
trial sites that further payments would be delayed or suspended, and use bridge
loans to “drip feed” CNS on a month-to-month basis. Our other
directors disagreed with this recommendation, and determined that Mr. Carpenter
was better qualified to lead our efforts to secure additional financing to
complete the clinical trial, continue to lay the groundwork for
commercialization and place CNS on a sound financial footing that we expect will
allow us to implement our business plan.
We
believe that Mr. Carpenter has made great progress over the last four months, as
evidenced by a variety of positive developments, including our successful
capital raising efforts that to date have resulted in over $2 million in
additional cash investment and the elimination of $1.7 million in indebtedness
through the automatic conversion of outstanding notes upon the completion of the
financing. He also has been instrumental in our efforts in getting
Messrs. Thompson and Pappajohn to join our board of directors. The
addition of Messrs. Thompson and Pappajohn, and their many years of relevant
experience in business, finance and government, strengthens our board’s ability
to face the challenges we anticipate as CNS continues its growth.
Unfortunately,
Mr. Brandt has spent the last four months reacting to his removal and engaging
in a number of activities that we believe have the goals of preventing our
financing initiatives and restoring himself to power. So far, those
efforts have not benefited CNS or our stockholders – they only have caused us to
incur significant legal and related expenses and have caused our management and
directors to spend valuable time contending with
Mr. Brandt. As you may know, to date Mr. Brandt has
attempted to call, hold, adjourn and/or reconvene purported special meetings
on eight
occasions since June and has made a number of SEC filings which we believe have
contained falsehoods and misleading statements and we have been vigorously
contesting these actions in both state and federal court. He now
even claims to have taken action at a purported stockholder meeting on September
4, even though he knows that the Company’s bylaws would not permit him to do so,
and is seeking to have a Delaware court validate his actions and prevent us from
having our annual meeting. Further information about these matters is
included under the caption “OTHER MATTERS – Purported
September 4 Stockholders Meeting.”
As part
of his campaign, Mr. Brandt has made a number of statements suggesting that his
purpose in calling his many meetings has been to allow CNS stockholders to
exercise their right to elect directors. In that vein, he has
criticized CNS for not holding a stockholder meeting that would allow
stockholders to elect directors – implying that CNS itself and other CNS
directors have been standing in the way of an annual meeting. He has
chosen not to highlight some relevant facts, however, when he makes these
statements – like the fact that he was CNS’s Chairman for many
years and, as Chairman, could have called a meeting at any time during his
tenure, a procedure that does not require the approval of any of the other
directors; or, that during his entire tenure as a director, he has never made a
motion at any meeting of directors to call an annual meeting, including at the
June 18 board meeting occuring just one day before he launched his campaign to
call his own meeting of stockholders. We believe that his initial purpose
in purporting to call a meeting in his capacity as a stockholder was to try to
catch the Company by surprise, act quickly to change the board and then tell the
rest of the stockholders what he had done. When that strategy did not
work, he tried again and again - a total of seven times - before he finally
delivered a proxy statement to CNS stockholders and invited other
stockholders beyond the short list he already had solicited to participate
in his purported meeting – not just those of you who were inclined to
travel to Dover, Delaware on a holiday, a Sunday or any of the other five
occasions Mr. Brandt’s designee stood in the hallway of an office building and
claimed he or she was convening a stockholder meeting. Then he
neglected to tell stockholders that he could not even call a meeting to elect
directors under our bylaws and Delaware law, that he had not complied with our
bylaw requirements regarding the process to be followed in calling a special
meeting generally, and that he unilaterally tried to set a record date that
conflicted with the record date set by our board, in an egregious attempt to
prevent certain CNS stockholders from voting at his purported
meeting.
Our goal
for the annual meeting is to have CNS stockholders elect directors after
considering the information contained in this proxy statement, assessing the
qualifications of our nominees, and reviewing the recent steps the board of
directors and our senior management have taken to stabilize the Company’s
finances, implement our business plan and set the stage for CNS’s
future. We believe that is the best way for you to be able to judge
our performance and plans for CNS and exercise your right to vote.
QUESTIONS
AND ANSWERS REGARDING THE ANNUAL MEETING
Why
am I receiving these materials?
We are
sending you this proxy statement because the board of directors is soliciting
your proxy to vote at our annual meeting. This proxy statement
provides information regarding the matters that we will act on at the annual
meeting and summarizes the information you need in order to vote at the annual
meeting. You do not need to attend the annual meeting to vote your CNS
shares. Please read this proxy statement, as it contains important
information you need to know to vote at the annual meeting.
When
and where will the annual meeting take place?
The
annual meeting will be held on Tuesday, September 29, 2009 at 10:00 a.m., local
time, at the Island Hotel, 690 Newport Center Drive, Newport
Beach, California 92660.
Who
is soliciting my vote?
This
proxy statement and the WHITE proxy card are provided
in connection with the solicitation of proxies by our board of directors for the
annual meeting. Proxy materials, including this proxy statement and
the WHITE proxy card,
were filed by us with the Securities and Exchange Commission on September 3,
2009, and we are first making this proxy statement available to stockholders on
or around September 15, 2009.
What
am I being asked to vote on?
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To
elect six directors to serve until the next annual meeting of stockholders
or until their respective successors are elected and
qualified.
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To
transact such other business as may properly come before the meeting or
any adjournment thereof.
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With
respect to the election of directors, the board of directors has fixed the
current number of directors at seven, but has acted to re-set the number of
authorized directors from seven to six in connection with the election of
directors at the annual meeting. This means that there will be six members of
the board following the annual meeting. The board has nominated one
individual for each position on the board to be filled at the annual
meeting. Those nominees are:
How
does the board of directors recommend that I vote?
Our board
of directors recommends that you vote “FOR” the election of each of
our director nominees.
Unless
you give other instructions on your WHITE proxy card, the persons
named as proxy holders on the WHITE proxy card will vote in
accordance with the recommendations of our board of directors. This
means that if you return an executed WHITE proxy card to us without
checking any of the voting boxes, the proxy will be voted “FOR” the election of each of
our director nominees.
Who
may vote at the annual meeting?
Our
common stock is the only class of voting shares. Holders of record of
our common stock at the close of business on August 27, 2009, the record date
for the annual meeting, are entitled to vote on each matter properly brought
before the annual meeting and at any adjournment or postponement of the
meeting.
How
many votes do I have?
CNS
stockholders have one vote for each share of common stock owned on the record
date on each matter properly brought before the annual meeting and at any
adjournment or postponement of the meeting.
How
many votes may be cast by all stockholders?
As of the
close of business on August 27, 2009, 41,781,129 shares of our common stock were
outstanding and each share is entitled to one vote on each matter properly
brought before the annual meeting and at any adjournment or postponement of the
meeting.
How
do I vote?
You may
vote by attending the annual meeting and voting in person or by submitting a
proxy. The method of voting by proxy will be different depending on
whether your shares are held by you directly as the record holder or if your
shares are held in “street name” by a broker, bank or nominee on your
behalf.
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Record
holders. If you hold your CNS shares as a record holder,
you may vote your shares by completing, dating and signing the WHITE proxy card that is
included with this proxy statement and promptly returning it in the
pre-addressed, postage paid envelope we are providing to
you. You also have the option of submitting your
proxy electronically via email or by fax by following the instructions
described below. You also have the right to vote in person at
the meeting, and if you choose to do so, you can bring the enclosed WHITE proxy
card or vote using the ballot provided at the annual
meeting.
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If you
vote by proxy, your shares will be voted at the annual meeting in the manner
specified by you. If you sign, date and return your WHITE proxy card,
but do not specify how you want your shares voted,they will be voted by the
proxy holder as recommended by the board.
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“Street name”
holders. If you hold your CNS shares in street name, you
are what is commonly known as a “beneficial owner,” and you should receive
a notice from your broker, bank or other nominee that includes
instructions on how to vote your CNS shares. Your broker, bank
or nominee may allow you to deliver your voting instructions over the
Internet and may also permit you to vote by telephone. You also
may request paper copies of the proxy statement and WHITE proxy
card from your broker. Because a beneficial holder is not the
stockholder of record, you may not vote these shares in person at the
annual meeting unless you obtain a “legal proxy” from the broker, bank or
other nominee that holds your shares, giving you the right to vote the
shares at the meeting.
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If you
hold your shares in street name and do not provide your broker with specific
voting instructions regarding the election of directors, the broker will not be
able to vote your shares on your behalf because the broker does not have
discretionary authority to vote on certain non-routine items, such as director
elections that may be deemed to be contested elections – the broker
must receive voting instructions from you as the beneficial owner of the
shares.
Even
if you plan to attend the annual meeting, we ask that you vote your shares in
advance using the WHITE proxy card so that your vote will be counted if you
later decide not to attend the annual meeting.
To
vote for our nominees – George Carpenter, Henry Harbin, M.D., David B. Jones,
John Pappajohn, Tommy Thompson and Jerome Vaccaro, M.D. – you must follow the
instructions on the WHITE proxy card or attend the annual meeting in person and
vote by ballot for our nominees. Please also be aware that you cannot
vote for our nominees on any proxy card or consent form other than our WHITE
proxy card.
If you
have any questions about how to ensure that your shares are voted at the annual
meeting in accordance with your wishes, please contact:
George
Carpenter CEO
CNS Response, Inc.
gcarpenter@cnsresponse.com
Can
I send in my proxy by fax or by email?
Yes. You may
fax your completed and signed proxy card to us at (866) 294-2611. You also may
fax your completed and signed proxy card to American Stock
Transfer & Trust Company at (718) 921-8331. You also may email a
completed and signed proxy card to us by scanning your completed and signed
proxy card and emailing it to the attention of Paul Buck at
pbuck@cnsresponse.com.
How
many votes must be present to hold the annual meeting?
A quorum
must be present, in person or by proxy, for business to be transacted at the
annual meeting. The presence in person or by proxy of the holders of
a majority of the outstanding shares of our common stock entitled to vote at the
annual meeting will constitute a quorum for the transaction of business at the
annual meeting. Based on shares of our common stock outstanding on
the record date, 20,890,565 shares of our common stock must be present either in
person or by proxy for a quorum.
Abstentions
and broker “non-votes” are counted as present and entitled to vote for purposes
of determining the presence or absence of a quorum. A broker
“non-vote” occurs when a broker or nominee holding shares for a beneficial owner
does not vote on a particular proposal because the broker or nominee does not
have discretionary voting power for that particular item and has not received
instructions from the beneficial owner. In order for us to determine
that enough votes will be present to hold the annual meeting and transact
business, we urge you to vote as soon as possible by submitting the WHITE proxy card.
What
vote is required to elect the directors?
A
plurality of the voting power of the shares present in person or represented by
proxy at the annual meeting and entitled to vote on the election of directors is
required for the election of directors. This means that the six
nominees receiving the highest number of affirmative votes will be elected to
the Board of directors. There is no cumulative voting in the election
of directors.
How
will votes be counted?
With
respect to the election of directors, you may vote “FOR” or “WITHHOLD” on each
of the six nominees. “Withhold” votes and broker non-votes will not affect the
outcome of the election.
May
I revoke my vote?
You may
revoke your vote at any time before your proxy is voted at the annual
meeting. The action you must take to revoke your vote will be
different depending on whether your shares are held by you directly as the
record holder or if your shares are held in “street name” by a broker, bank or
nominee on your behalf.
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Record
holders. If you hold your CNS shares as a record holder,
you may revoke your proxy at any time before your proxy is voted at the
annual meeting by (i) delivering to CNS a signed written notice of
revocation, bearing a date later than the date of the proxy, stating that
the proxy is revoked, (ii) signing and delivering a new paper proxy,
relating to the same shares and bearing a later date than the original
proxy, (iii) submitting another proxy by email or fax relating
to the same shares and bearing a later date than the original proxy, or
(iv) attending the annual meeting and voting in person, although
attendance at the annual meeting will not, by itself, revoke a
proxy.
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“Street name”
holders. If you hold your CNS shares in street name, you
may change your vote by submitting new voting instructions to your broker,
bank or other nominee. You must contact your broker, bank or other nominee
to find out how to do so.
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Will
any other business be conducted at the annual meeting?
It is not
currently expected that any matter other than those identified above will be
voted upon at the annual meeting (other than procedural matters with respect to
the conduct of the meeting that may properly arise). With respect to
any other matter that properly comes before the meeting, the proxy holders will
vote as may be recommended by our board or, if no recommendation is given, in
their own discretion.
May
I vote in person?
Yes. If
you plan to attend the annual meeting and wish to vote in person, you will be
given a ballot at the annual meeting. Please note, however, that if your shares
are held in street name, you must bring to the annual meeting a “legal proxy”
from the record holder of the shares, which is the broker, bank or other
nominee, authorizing you to vote at the annual meeting.
What
do I need for admission to the annual meeting?
You are
entitled to attend the annual meeting in person only if you are a stockholder of
record or a beneficial owner of our stock as of the close of business on August
27, 2009, or if you hold a valid proxy for the annual meeting. To
attend the meeting, you must bring with you
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photo
identification; and
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if
you hold in “street name,” you should provide proof of beneficial
ownership on the record date, a copy of the WHITE voting-instruction
card provided by your broker, bank, or other nominee, or other similar
evidence of ownership as of the record date, as well as your photo
identification.
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If you
are the stockholder of record, your name will be verified against the list of
stockholders of record prior to your admittance to the annual
meeting.
The use
of cameras, recording devices and other electronic devices at the annual meeting
is prohibited, and such devices will not be allowed in the meeting or any other
related areas, except by credentialed media. We realize that many cellular
phones personal digital assistants have built-in digital cameras, and while you
may bring these into the meeting venue, you may not use the camera function at
any time.
What
happens if the annual meeting is postponed or adjourned?
Your
proxy will remain valid and may be voted when the postponed or adjourned meeting
is held. You may change or revoke your proxy until it is voted.
Who
pays for the solicitation of proxies?
We will
pay the cost of preparing this proxy statement and the related WHITE proxy card and notice of
meeting, as well as any other materials that may be distributed on behalf of our
Board, and any cost of soliciting your vote on behalf of the board. We also pay
all annual meeting expenses.
We may
use the services of our directors, officers, employees and others to solicit
proxies, personally or by mail, telephone, or facsimile. Appendix I to this
proxy statement sets forth information about the directors and other individuals
who, under rules promulgated by the Securities and Exchange Commission, are
“participants” in our solicitation of proxies in connection with the annual
meeting. We may also make arrangements with brokers, banks and other custodians,
nominees, fiduciaries and stockholders of record to forward solicitation
material to the beneficial owners of stock held of record by such persons. We
may reimburse such individuals or firms for reasonable out-of-pocket expenses
incurred by them in soliciting proxies, but we will not pay any compensation for
their services. We estimate that our total expenditures related to the
solicitation of proxies for the annual meeting will be approximately $
75,000. As of August 31, 2009, our total expenditures relating to
these solicitations have been approximately $25,000. We also
may engage a proxy solicitation firm to assist with the solicitation of proxies,
although we have not yet determined to do so, and we expect that if we do engage
a proxy solicitation firm that the additional cost to be borne by us will be
approximately $35,000.
May
I access the proxy materials for the annual meeting on the
Internet?
Under
recently implemented rules of the Securities and Exchange Commission, we are
providing access to our proxy materials both by sending you this full set of
proxy materials, including the WHITE proxy card,
and by notifying you of the availability of our proxy materials on the Internet.
This proxy statement, the accompanying form of WHITE proxy card
and the Company's Annual Report on Form 10-K (as amended) for the
fiscal year ended September 30, 2008 are available at
www.CNSResponse.com.
_______________________________________________
Note
Regarding Householding of Annual Meeting Materials
_______________________________________________
To reduce
the expenses of delivering duplicate proxy materials to our stockholders, we are
relying upon Securities and Exchange Commission rules that permit us to deliver
only one proxy statement and annual report to multiple beneficial owners who
share an address unless we received contrary instructions from any beneficial
owner at that address. If you hold your shares in “street name” (i.e., in the
name of a bank, broker or other nominee), share an address with another
beneficial owner, and have received only one proxy statement and annual report,
you may contact the bank, broker or other nominee to request a separate copy of
these materials or to discontinue householding. You may also request separate
copies of our proxy statement and annual report by contacting us
at:
CNS
Response, Inc., 2755 Bristol Street, Suite 285, Costa Mesa, CA 92626 –
attention: Corporate Secretary, or by calling us at (714)
545-3288.
MATTERS
REQUIRING STOCKHOLDER ACTION
PROPOSAL NO.
1 – ELECTION OF DIRECTORS
Proposal 1 is for the election of six
directors to hold office until our next annual meeting of stockholders or until
their respective successors have been duly elected and qualified. Our
certificate of incorporation, as amended, provides that the number of directors
of the Company shall be fixed from time to time by our board of
directors. The board of directors has fixed the number of directors
at seven, and has acted to re-set the number of authorized directors to six in
connection with the election of directors at the annual meeting.
Unless
otherwise instructed, the proxy holders will vote the proxies received by them
“FOR” all of the nominees named below. If any nominee is unable or
unwilling to serve as a director at the time of the annual meeting, the proxies
will be voted for such other nominee(s) as shall be designated by the board of
directors to fill any vacancy, or, alternatively, the board may determine to
reduce the number of directors. We have no reason to believe that any nominee
will be unable or unwilling to serve if elected as a director.
Proxies may not be voted for more than
six directors. The six nominees receiving the highest number of affirmative
votes of the shares entitled to vote at the meeting will be elected.
Stockholders may not cumulate votes in the election of directors.
The board
of directors has nominated and proposes the election of the following nominees
as directors:
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Ÿ George
Carpenter
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Ÿ John
Pappajohn
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Ÿ Henry
Harbin, M.D.
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Ÿ Tommy
Thompson
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Ÿ David
B. Jones
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Ÿ Jerome
Vaccaro, M.D.
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The
principal occupation and certain other information about the nominees and
certain executive officers are set forth on the following pages.
THE
BOARD OF DIRECTORS RECOMMENDS A VOTE “FOR” THE
ELECTION OF THE NOMINEES LISTED
ABOVE.
INFORMATION REGARDING THE
BOARD OF DIRECTORS AND COMMITTEES AND COMPANY MANAGEMENT
DIRECTOR
NOMINEES
The
following table sets forth the name, age and position of each of our director
nominees as of August 31, 2009 and the current positions that they hold with
us:
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Name
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Age
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Position Held
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George
Carpenter
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51
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Chairman,
Chief Executive Officer and Secretary
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Dr.
Henry T. Harbin
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62
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Director
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David
B. Jones
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65
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Director
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John
Pappajohn
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81
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Director
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Tommy
Thompson
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66
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Director
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Jerome
Vaccaro, M.D.
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53
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Director
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George
Carpenter, Chairman of the Board, Chief Executive Officer,
Secretary
George
Carpenter has served as our Chief Executive Officer since April 10, 2009 and
prior to that date served as our President since October 1,
2007. Prior to joining us, Mr. Carpenter was the President & CEO
of WorkWell Systems, Inc., a national physical medicine firm that manages
occupational health programs for Fortune 500 employers. Prior to his
position at WorkWell Systems, Mr. Carpenter founded and served as Chairman and
CEO of Core, Inc., a company focused on integrated disability management and
work-force analytics. Core was acquired in 2001 by Assurant,
Inc. From 1984 to 1990, Mr. Carpenter was a Vice President of
Operations with Baxter Healthcare, served as a Director of Business Development
and as a strategic partner for Baxter's alternate site
businesses. Mr. Carpenter began his career at Inland Steel where he
served as a Senior Systems Consultant in manufacturing process control. Mr.
Carpenter holds an MBA in Finance from the University of Chicago and a BA with
Distinction in International Policy & Law from Dartmouth
College.
Henry
T. Harbin, M.D., Director
Henry
Harbin, M.D. joined our Board of directors on October 17, 2007. Dr.
Harbin is a Psychiatrist with over 30 years of experience in the behavioral
health field. He has held a number of senior positions in both public and
private health care organizations. He worked for 10 years in the public mental
health system in Maryland serving as Director of the state mental health
authority for three of those years. He has been CEO of two national
behavioral healthcare companies - Greenspring Health Services and Magellan
Health Services. At the time he was CEO of Magellan, it was the largest managed
behavioral healthcare company managing the mental health and substance abuse
benefits of approximately 70 million Americans including persons who were
insured by private employers, Medicaid and Medicare. In 2002 and 2003, he served
on the President's New Freedom Commission on Mental Health. As a part
of the Commission he was chair of the subcommittee for the Interface between
Mental Health and General Medicine. In 2005, he served as co-chair of
the National Business Group on Health's work group that produced the Employer's
Guide to Behavioral Health Services in December 2005. Since 2004, Dr. Harbin has
been providing health care consulting services to a number of private and public
organizations.
David
B. Jones, Director
David B.
Jones has been a director of CNS California since August 2006, and became a
director of the company upon completion of our merger with CNS California on
March 7, 2007. Mr. Jones currently serves as a partner of Sail
Venture Partners, L.P., a position which he has held since 2003. From
1998 to 2004, Mr. Jones served as Chairman and Chief Executive Officer of
Dartron, Inc., a computer accessories manufacturer. From 1985 to 1997, Mr. Jones
was a general partner of InterVen Partners, a venture capital firm with offices
in Southern California and Portland, Oregon. From 1979 to 1985, Mr. Jones was
President and Chief Executive Officer of First Interstate Capital, Inc., the
venture capital affiliate of First Interstate Bancorp. Mr. Jones is a graduate
of Dartmouth College and holds Masters of Business Administration and law
degrees from the University of Southern California.
John
Pappajohn, Director
John
Pappajohn joined the CNS board of directors on August 26, 2009. Since
1969, Mr. Pappajohn has 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.
Tommy
Thompson, Director
Tommy G.
Thompson joined the CNS board of directors on August 26, 2009. Mr.
Thompson is 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 re-elected 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 low-income
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.
Jerome
Vaccaro, M.D., Director
Jerome
Vaccaro, M.D., joined the Board of directors of CNS California in 2006 and
became a director of the company upon completion of our merger with CNS
California on March 7, 2007. Dr. Vaccaro is President and Chief
Operating Officer of APS Healthcare, Inc, (APS) a privately held specialty
healthcare company. Prior to his appointment as president of APS, Mr.
Vaccaro served as Senior Vice President with United Health Group’s Specialized
Care Services. He has served in a number of health care executive roles, most
recently as Chief Executive Officer of United Behavioral Health, and before that
as President and Chief Executive Officer of PacifiCare Behavioral Health
(“PBH”). Dr. Vaccaro has also served as Medical Director of PBH (1996-2001),
Chief Executive Officer of PacifiCare Dental and Vision (2002-2004), and Senior
Vice President for the PacifiCare Specialty Health Division (2002-2004). Dr.
Vaccaro has an extensive background in community mental health and public sector
work, including editing the textbook, “Practicing Psychiatry in the Community,”
which is hailed as the definitive community psychiatry text. Dr. Vaccaro
completed medical school and a Psychiatry Residency at the Albert Einstein
College of Medicine in New York City. After his training, Dr. Vaccaro served on
the full-time faculty of the University of Hawaii (1985-1989) and UCLA
(1989-1996) Departments of Psychiatry.
OTHER
EXECUTIVE OFFICERS
Daniel
Hoffman, Chief Medical Officer and President
Dr. Hoffman, 61, became our President
on April 10, 2009 and our Chief Medical Officer on January 15, 2008 upon our
acquisition of Neuro-Therapy Clinic, P.C, which at the time of the acquisition
was our largest customer. Dr. Hoffman is a Neuropsychiatrist with
over 25 years experience treating general psychiatric conditions such as
depression, bipolar disorder and anxiety. He provides the newest advances in
diagnosing and treating attentional and learning problems in children and
adults. Dr. Hoffman has authored over 40 professional articles, textbook
chapters, poster presentations and letters to the editors on various aspects of
neuropsychiatry, Quantitative EEG, LORETA, Referenced EEG, advances in
medication management, national position papers and standards, Mild Traumatic
Brain Injury, neurocognitive effects of Silicone Toxicity, sexual dysfunction
and other various topics. Dr. Hoffman has given over 58 major presentations and
seminars, including Grand Rounds at Universities and Hospitals, workshops and
presentations at national society meeting (such as American Psychiatric
Association and American Neuropsychiatric Association, national CME conferences,
insurance companies, national professional associations, panel member
discussant, and presenter of poster sessions. Dr Hoffman has a Bachelor of
Science in Psychology from the University of Michigan, an MD from Wayne State
University School of Medicine and conducted his Residency in Psychiatry at the
University of Colorado Health Sciences Center. During the past five years, Dr.
Hoffman has served as the President and CEO of Neuro-Therapy Clinic, P.C., a
wholly-owned subsidiary of the company that is focused on discovering ways to
integrate technology into the creation of better business
practices.
BOARD
COMPOSITION AND COMMITTEES AND DIRECTOR INDEPENDENCE
Our board
of directors currently consists of seven members: George Carpenter, Henry
Harbin, David Jones, John Pappajohn, Tommy Thompson, Jerome Vaccaro and Leonard
Brandt. Messrs. Pappajohn and Thompson just recently joined our board
of directors on August 26, 2009; they were not members of the board during our
last fiscal year, which ended on September 30, 2008.
Currently,
we do not have any committees, including an audit committee, compensation
committee, or nominating and corporate governance committee and the functions
customarily delegated to these committees are performed by our full board of
directors. In addition, we do not have any charters that relate to
the functions traditionally performed by these committees. We are not
a “listed company” under SEC rules and are therefore not required to have
separate committees comprised of independent directors. We have, however,
determined that David Jones, Jerome Vaccaro, Henry Harbin, John Pappajohn and
Tommy Thompson are “independent” as that term is defined in Section 5600 of the
Nasdaq Listing Rules as required by the NASDAQ Stock Market. In
addition, although our full board of directors functions as our audit committee,
we have determined that Jerome Vaccaro, David Jones, John Pappajohn and Tommy
Thompson are “independent” for purposes of Rule 5605-4 of the Nasdaq Listing
Rules as required by the NASDAQ Stock Market.
We have
also determined that David Jones qualifies as an “audit committee financial
expert” within the meaning of the rules and regulations of the SEC and that each
of our other board members are able to read and understand fundamental financial
statements and have substantial business experience that results in that
member's financial sophistication. Accordingly, our board of directors believes
that each of its members has sufficient knowledge and experience necessary to
fulfill the duties and obligations that an audit committee would
have.
FURTHER
INFORMATION CONCERNING THE BOARD OF DIRECTORS
Meetings and
Committees. The Board of directors held six meetings during
its fiscal year ended September 30, 2008. All directors then serving, with the
exception of Mr. Vaccaro, attended 75% or more of all of the meetings of the
Board of directors during such fiscal year. The Company has not
established a specific policy with respect to members of the board of directors
attending annual stockholder meetings.
With
respect to our 2009 Annual Meeting of Stockholders, the board of directors
appointed a committee consisting of George Carpenter, Henry Harbin and David
Jones to review the director nominees and make recommendations to the full board
of directors regarding those candidates who will be the nominees for election or
re-election to our board of directors. This committee determined to
recommend George Carpenter, Henry Harbin, David Jones, John Pappajohn, Tommy
Thompson and Jerome Vaccaro as the nominees. The committee determined
not to recommend Leonard Brandt. The nominees were subsequently
approved by the board of directors. The methods used by the committee
and the board of directors for identifying candidates for election as directors
(other than those proposed by our stockholders, as discussed below) include the
solicitation of ideas for possible candidates from a number of sources—members
of the board of directors; our senior management; individuals personally known
to the members of the board of directors; and other research. We may also from
time to time retain one or more third-party search firms to identify suitable
candidates. The board also considers outside candidates for possible nomination
for election.
A CNS
stockholder may nominate one or more persons for election as a director at an
annual meeting of stockholders if the stockholder complies with the requisite
provisions contained in our Bylaws. In addition, the notice must be made in
writing and set forth as to each proposed nominee who is not an incumbent
Director (i) their name, age, business address and, if known, residence address,
(ii) their principal occupation or employment, (iii) the number of shares of
stock of the Company beneficially owned and (iv) any other information
concerning the nominee that must be disclosed respecting nominees in proxy
solicitations pursuant to Rule 14(a) of the Exchange Act of 1934. The
recommendation should be addressed to our Secretary.
Among
other matters, our full board of directors which serves as the nominating and
governance committee:
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Reviews
the desired experience, mix of skills and other qualities to assure
appropriate Board composition, taking into account the current Board
members and the specific needs of CNS Response and the
Board;
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Conducts
candidate searches, interviews prospective candidates and conducts
programs to introduce candidates to our management and operations, and
confirms the appropriate level of interest of such
candidates;
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Recommends
qualified candidates who bring the background, knowledge, experience,
independence, skill sets and expertise that would strengthen and increase
the diversity of the Board; and
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Conducts
appropriate inquiries into the background and qualifications of potential
nominees.
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Compensation of Directors and
Officers. Our full board of directors determines the compensation to be
paid to our officers and directors, with recommendations from management as to
the amount and/or form of such compensation. While our board may in the future
utilize the services of consultants in determining or recommending the amount or
form of executive and director compensation, we do not at this time employ
consultants for this purpose.
Stockholder
Communications. Stockholder may send communications to the
board of directors via email to board@cnsresponse.com or by telephoning the
Secretary at the Company’s principal executive offices, who will then relay the
communications to the board of directors.
Code of Ethics. Our
board of directors has adopted a Code of Ethical Conduct (the “Code of Conduct”)
which constitutes a “code of ethics” as defined by applicable SEC rules and a
“code of conduct” as defined by applicable NASDAQ rules. We require all
employees, directors and officers, including our principal executive officer,
principal financial officer and principal accounting officer to adhere to the
Code of Conduct in addressing legal and ethical issues encountered in conducting
their work. The Code of Conduct requires that these individuals avoid conflicts
of interest, comply with all laws and other legal requirements, conduct business
in an honest and ethical manner and otherwise act with integrity and in our best
interest. The Code of Conduct contains additional provisions that apply
specifically to our principal financial officer and other financial officers
with respect to full and accurate reporting. The Code of Conduct is available on
our website at www.cnsresponse.com
and is also filed as an exhibit to our Annual Report on Form
10-K/A.
EXECUTIVE
COMPENSATION
COMPENSATION
DISCUSSION AND ANALYSIS
As we do
not have a designated compensation committee, our full board of directors
oversees matters regarding executive compensation. The Board is
responsible for, among other functions: (1) reviewing and approving corporate
goals and objectives relevant to the compensation of our executive officers and
evaluating the performance of such executive officers in light of these
corporate goals and objectives; (2) administering our 2006 Stock Incentive Plan
and other equity incentive plans that we may adopt from time to time; and (3)
negotiating, reviewing and setting the annual salary, bonus, stock options and
other benefits, direct and indirect, of the Chief Executive Officer, and other
current and former executive officers. The Board also has the authority to
select and/or retain outside counsel, compensation and benefits consultants, or
any other consultants to provide independent advice and assistance in connection
with the execution of its responsibilities. Our “named executive officers” for
our fiscal year ending September 30, 2008 were as follows:
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George
Carpenter, President;
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Horace
Hertz, Chief Financial Officer (resigned as of August 31,
2008);
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Brad
Luce, Principal Financial Officer (resigned as of December 19,
2008);
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Daniel
Hoffman, Chief Medical Officer; and
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Leonard
Brandt, Chief Executive Officer
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Compensation
Philosophy
Because
we are a small company with a total of 15 full-time and 4 part-time employees,
we do not have a formal comprehensive executive compensation
policy. As we expand our operations, we intend to establish such
policies to further our corporate objectives. Generally, we
compensate our executive officers with a compensation package that is designed
to drive company performance to maximize shareholder value while meeting our
needs and the needs of our executives. The following are objectives we
consider:
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Alignment
- to align the interests of executives and shareholders through
equity-based compensation awards;
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Retention
- to attract, retain and motivate highly qualified, high performing
executives to lead our growth and success;
and
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Performance
- to provide, when appropriate, compensation that is dependent upon the
executive's achievements and the company’s
performance.
|
In order
to achieve the above objectives, our executive compensation philosophy is guided
by the following principles:
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·
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Rewards
under incentive plans are based upon our short-term and longer-term
financial results and increasing shareholder
value;
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Executive
pay is set at sufficiently competitive levels to attract, retain and
motivate highly talented individuals who are necessary for us to strive to
achieve our goals, objectives and overall financial
success;
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·
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Compensation
of an executive is based on such individual's role, responsibilities,
performance and experience, taking into account the desired pay
relationships within the executive team;
and
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·
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Annual
performance of our company and the executive are taken into account in
determining annual bonuses with the goal of fostering a
pay-for-performance culture.
|
Compensation
Elements
We
compensate our executives through a variety of components, which may include a
base salary, annual performance based incentive bonuses, equity incentives, and
benefits and perquisites, in order to provide our executives with a competitive
overall compensation package. The mix and value of these components are impacted
by a variety of factors, such as responsibility level, individual negotiations
and performance and market practice. The purpose and key characteristics for
each component are described below.
Base
Salary
Base
salary provides executives with a steady income stream and is based upon the
executive's level of responsibility, experience, individual performance and
contributions to our overall success, as well as negotiations between the
company and such executive officer. Competitive base salaries, in conjunction
with other pay components, enable us to attract and retain talented executives.
The Board typically sets base salaries for our executives at levels that it
deems to be competitive, with input from our Chief Executive
Officer.
Annual
Incentive Bonuses
Annual
incentive bonuses are a variable performance-based component of compensation.
The primary objective of an annual incentive bonus is to reward executives for
achieving corporate and individual goals and to align a portion of total pay
opportunities for executives to the attainment of our company's performance
goals. Annual incentive awards, when provided, act as a means to recognize the
contribution of our executive officers to our overall financial, operational and
strategic success.
Equity
Incentives
Equity
incentives are intended to align executive and shareholder interests by linking
a portion of executive pay to long-term shareholder value creation and financial
success over a multi-year period. Equity incentives may also be provided to our
executives to attract and enhance the retention of executives and to facilitate
stock ownership by our executives. The Board considers individual and company
performance when determining long-term incentive opportunities.
Health
& Welfare Benefits
The
executive officers participate in health and welfare, and paid time-off benefits
which we believe are competitive in the marketplace. Health and welfare and paid
time-off benefits help ensure that we have a productive and focused
workforce.
Severance
and Change of Control Arrangements
We do not
have a formal plan for severance or separation pay for our employees, but we
typically include a severance provision in the employment agreements of our
executive officers that have written employment agreements with
us. Generally, such provisions are triggered in the event of
involuntary termination of the executive without cause or in the event of a
change in control. Please see the description of our employment
agreements with each of George Carpenter and Daniel Hoffman below for further
information.
Other
Benefits
In order
to attract and retain highly qualified executives, we may provide our executive
officers with automobile allowances, consistent with current market
practices.
Accounting
and Tax Considerations
We
consider the accounting implications of all aspects of our executive
compensation strategy and, so long as doing so does not conflict with our
general performance objectives described above, we strive to achieve the most
favorable accounting (and tax) treatment possible to the company and our
executive officers.
Process
for Setting Executive Compensation; Factors Considered
When
making pay determinations for named executive officers, the Board considers a
variety of factors including, among others: (1) actual company performance as
compared to pre-established goals, (2) individual executive performance and
expected contribution to our future success, (3) changes in economic conditions
and the external marketplace, (4) prior year’s bonuses and long-term incentive
awards, and (5) in the case of executive officers, other than Chief Executive
Officer, the recommendation of our Chief Executive Officer. No specific weighing
is assigned to these factors nor are particular targets set for any particular
factor. Ultimately, the Board uses its judgment and discretion when determining
how much to pay our executive officers and sets the pay for such executives by
element (including cash versus non-cash compensation) and in the aggregate, at
levels that it believes are competitive and necessary to attract and retain
talented executives capable of achieving the Company's long-term
objectives.
Summary
Compensation Table
The
following table provides disclosure concerning all compensation paid for
services to us in all capacities for our fiscal years ending September 30, 2008,
2007 and 2006 (i) as to each person serving as our principal executive officer
(“PEO”) or acting in a similar capacity during our fiscal year ended September
30, 2008, (ii) as to each person serving as our principal financial officer
(“PFO”) or acting in a similar capacity during our fiscal year ended September
30, 2008, and (iii) as to our two most highly compensated executive officers
other than our PEO and PFO who were serving as executive officers at the end of
our fiscal year ended September 30, 2008, whose compensation exceeded
$100,000. The people listed in the table below are referred to as our
“named executive officers”.
Subsequent
to our fiscal year ended September 30, 2008, on April 10, 2009, our board of
directors elected George Carpenter, at the time our President, to the position
of Chief Executive Officer and elected Daniel Hoffman, MD, to the position of
President in addition to his previous role as Chief Medical Officer of the
company. On the same date, our Board removed Mr. Brandt from his
position as our Chief Executive Officer.
|
Name
and
Principal
Position
|
|
Fiscal
Year
Ended
September
30,
|
|
Salary
($)
|
|
|
Bonus
($)
|
|
|
Option
Awards
($)
|
|
|
All
Other
Compensation
($)
|
|
|
Total
($)
|
|
|
Leonard
Brandt (Chief Executive Officer, Principal Executive Officer,
Director)(1)
|
|
2008
|
|
|
175,000 |
|
|
|
0 |
|
|
|
0 |
|
|
|
19,000 |
(9) |
|
|
194,000 |
|
|
|
|
2007
|
|
|
175,000 |
|
|
|
0 |
|
|
|
1,025,600 |
(4) |
|
|
18,000 |
|
|
|
1,218,600 |
|
|
|
|
2006
|
|
|
175,000 |
|
|
|
10,000 |
|
|
|
196,500 |
(5) |
|
|
59,700 |
|
|
|
441,200 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Daniel
Hoffman (Chief Medical Officer)
|
|
2008
|
|
|
108,100 |
|
|
|
0 |
|
|
|
0 |
|
|
|
39,200 |
(10) |
|
|
147,300 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Horace
Hertz (former Chief
|
|
2008
|
|
|
157,900 |
|
|
|
0 |
|
|
|
0 |
|
|
|
0 |
|
|
|
157,900 |
|
|
Financial
Officer, former Principal Financial Officer)(2)
|
|
2007
|
|
|
143,750 |
|
|
|
0 |
|
|
|
515,400 |
(6) |
|
|
0 |
|
|
|
659,150 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Brad
Luce (former Principal Financial Officer)(3)
|
|
2008
|
|
|
7,700 |
|
|
|
0 |
|
|
|
159,500 |
(7) |
|
|
0 |
|
|
|
167,200 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
George
Carpenter (President)
|
|
2008
|
|
|
180,000 |
|
|
|
0 |
|
|
|
680,700 |
(8) |
|
|
16,300 |
(9) |
|
|
877,000 |
|
|
(1)
|
For
the fiscal years ended 2005 and 2006, Mr. Brandt agreed to forgo payment
of his salary and allow CNS California to accrue such compensation. In
August 2006, Mr. Brandt agreed to settle his claims for compensation
through September 30, 2006 in the aggregate amount of $1,106,900 in
exchange for the issuance of 298,437 shares of CNS California common
stock, which were exchanged for 298,437 shares of our common stock upon
the closing of our merger with CNS California on March 7,
2007.
|
|
(2)
|
Mr.
Hertz resigned on August 31, 2008.
|
|
(3)
|
Mr.
Luce resigned on December 19, 2008.
|
|
(4)
|
The
fair value of options was estimated on the date of grant using the
Black-Scholes option pricing model with the following weighted-average
assumptions: grant date fair value of $1.09; dividend yield of
0; risk free interest rate of 4.72%; expected volatility of 91% and an
expected life of 5 years.
|
|
(5)
|
Represents
options to purchase 2,124,740 shares of our common stock for which the CNS
California common stock underlying the originally issued options were
exchanged upon the closing of our merger with CNS
California. As of September 30, 2008, the options were fully
vested and exercisable at $0.132 per share. The fair value of
options was estimated on the date of grant using the Black-Scholes option
pricing model with the following weighted-average
assumptions: grant date fair value of $0.132; dividend yield of
0; risk free interest rate of 5.5%; expected volatility of 100% and an
expected life of 5 years. Subsequent to our year ended
September 30, 2008, Mr. Brandt exercised the aforementioned
options.
|
|
(6)
|
The
fair value of options was estimated on the date of grant using the
Black-Scholes option pricing model with the following weighted-average
assumptions: grant date fair value of $1.09; dividend yield of
0; risk free interest rate of 4.72%; expected volatility of 91% and an
expected life of 5 years. On August 31, 2008, upon the
termination of his services to the company, options to purchase 352,757
shares of common stock held by Mr. Hertz were
cancelled.
|
|
(7)
|
The
fair value of options was estimated on the date of grant using the
Black-Scholes option pricing model with the following weighted-average
assumptions: grant date fair value of $0.59; dividend yield of
0; risk free interest rate of 3.41%; expected volatility of 211% and an
expected life of 5 years. On December 19, 2008, upon the
termination of his services to the company, options to purchase 257,813
shares of common stock held by Mr. Luce were
cancelled.
|
|
(8)
|
The
fair value of options was estimated on the date of grant using the
Black-Scholes option pricing model with the following weighted-average
assumptions: grant date fair value of $0.80; dividend yield of
0; risk free interest rate of 4.60%; expected volatility of 105.87% and an
expected life of 5 years.
|
|
(9)
|
Relates
to healthcare insurance premiums paid on behalf of executive officers by
the company.
|
|
(10)
|
Relates
to healthcare insurance premiums of $15,300 and automobile expenses of
$8,900 paid on behalf of Dr. Hoffman by the company, as well as $15,000 in
consulting fees paid to Dr. Hoffman for services rendered to the company
prior to his employment.
|
Grant
of Plan Based Awards in the Fiscal Year Ending September 30, 2008
The
following table provides information about equity awards granted to each named
executive officer that received awards in our fiscal year ending September 30,
2008 under our 2006 Stock Incentive Plan, which is the only plan pursuant to
which awards were granted in such fiscal year.
|
Name
|
|
Grant
Date
|
|
All
Other Option
Awards: Number
of
Securities
Underlying
Options
|
|
|
Exercise
or
Base
Price of
Option
Awards
($/share)
|
|
|
Grant
Date
Fair
Value of
Option
Awards
($)(1)
|
|
|
George
Carpenter
|
|
10/01/2007
|
|
|
533,694 |
(2) |
|
|
$0.89 |
|
|
|
375,000 |
|
|
|
|
10/01/2007
|
|
|
435,181 |
(3) |
|
|
$0.89 |
|
|
|
305,800 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Brad
Luce
|
|
09/17/2008
|
|
|
275,000 |
(4) |
|
|
$0.51 |
|
|
|
159,500 |
|
|
(1)
|
The
grant date fair value is generally the amount the company would expense in
its financial statements over the award’s service period, but does not
include a reduction for
forfeitures.
|
|
(2)
|
Options
to purchase 112,359 shares of the company's common stock vested
immediately on the date of grant. Options to purchase 112,356 shares of
the company's common stock vest in equal monthly installments of 12,484
shares over 9 months commencing on April 30, 2008. Options to purchase
308,979 shares of the company's common stock vest in equal monthly
installments of 9,363 shares over 33 months commencing on January 31,
2009.
|
|
(3)
|
Options
to purchase 8,750 shares of the company's common stock vested immediately
on the date of grant. Options to purchase 69,300 shares of the company's
common stock vest in equal monthly installments of 7,700 shares over 9
months commencing on April 30, 2008. Options to purchase 346,272 shares of
the company's common stock vest in equal monthly installments of 10,821
shares over 32 months commencing on January 31, 2009. The remaining
options to purchase 10,859 shares vest on September 30,
2011.
|
|
(4)
|
The
options were to vest in equal monthly installments of 5,729 shares over 47
months commencing on October 15, 2008, with the remaining options to
purchase 5,737 shares of common stock vesting on November 15,
2012. On December 19, 2008, Mr. Luce resigned from the company,
and all unvested options were
cancelled.
|
Narrative
Disclosure to Summary Compensation Table and Grants of Plan-Based Awards
Table
As we
desired to retain our cash to fund our growth, we did not pay any bonuses to our
executive officers during our fiscal years ended September 30, 2008 and
2007. The bonuses paid to our executive officers in fiscal year ended
2006 were determined by our board of directors, and were based on the
performance of the executive officer and the company. As discussed, we do not
have a formal plan for determining the compensation of our executive
officers. Instead, each named executive officer negotiates the terms
of their employment with us, taking into account our compensation philosophy
outlined above. The following is a summary of each employment
agreement that we have entered into with respect to our named executive
officers, which summary includes, where applicable, a description of all
payments the company is required to make to such named executive officers at,
following or in connection with the resignation, retirement or other termination
of such named executive officers, or a change in control of our company or a
change in the responsibilities of such named executive officers following a
change in control.
Employment
Agreements
George Carpenter
On October 1, 2007, after our 2007
fiscal year end, we entered into an Employment Agreement (the “Employment
Agreement”) with George Carpenter pursuant to which Mr. Carpenter serves as our
President. During the period of his employment, Mr. Carpenter will
receive a base salary of no less than $180,000 per annum, which is subject to
upward adjustment at the discretion of our board of directors. In
addition, pursuant to the terms of the Employment Agreement, on October 1, 2007,
Mr. Carpenter was granted an option to purchase 968,875 shares of our common
stock at an exercise price of $0.89 per share pursuant to our 2006 Stock
Incentive Plan, which vests pursuant to the terms earlier
described. In the event of a change of control transaction, a portion
of Mr. Carpenter’s unvested options equal to the number of unvested options at
the date of the corporate transaction times the ratio of the time elapsed
between October 1, 2008 and the date of the corporate transaction over the
vesting period (48 months) will automatically accelerate, and become fully
vested. Mr. Carpenter will be entitled to four weeks vacation per
annum, health and dental insurance coverage for himself and his dependents, and
other fringe benefits that we may offer our employees from time to
time.
Mr. Carpenter's employment is on an
"at-will" basis, and Mr. Carpenter may terminate his employment with us for any
reason or for no reason. Similarly, we may terminate Mr. Carpenter's employment
with or without cause. If we terminate Mr. Carpenter's employment
without cause or Mr. Carpenter involuntarily terminates his employment with us
(an involuntary termination includes changes, without Mr. Carpenter’s consent or
pursuant to a corporate transaction, in Mr. Carpenter’s title or
responsibilities so that he is no longer serving in his current position), Mr.
Carpenter shall be eligible to receive as severance his salary and benefits for
a period equal to six months payable in one lump sum of $98,100 upon
termination. If Mr. Carpenter is terminated by us for cause, or if
Mr. Carpenter voluntarily terminates his employment, he will not be entitled to
any severance.
Daniel Hoffman
On
January 11, 2008, we entered into an Employment Agreement with Daniel Hoffman
pursuant to which Dr. Hoffman began serving as our Chief Medical Officer
effective January 15, 2008. During the period of his employment, Dr. Hoffman
will receive a base salary of $150,000 per annum, which is subject to upward
adjustment. Dr. Hoffman will also have the opportunity to receive bonus
compensation, if and when approved by our board of directors. Dr.
Hoffman's employment is on an "at-will" basis, and Dr. Hoffman may terminate his
employment with us for any reason or for no reason. Similarly, we may terminate
Dr. Hoffman's employment with or without cause. If we terminate Dr. Hoffman's
employment without cause or Dr. Hoffman involuntarily terminates his employment
with us (an involuntary termination includes changes, without Dr. Hoffman’s
consent or pursuant to a corporate transaction, in Dr. Hoffman’s title or
responsibilities so that he is no longer the Chief Medical Officer of the
company), Dr. Hoffman will be eligible to receive as severance his salary and
benefits for a period equal to six months payable in one lump sum of $92,000
upon termination. If Dr. Hoffman is terminated by us for cause, or if Dr.
Hoffman voluntarily terminates his employment, he will not be entitled to any
severance. Dr. Hoffman will be entitled to four weeks vacation per annum, health
and dental insurance coverage for himself and his dependents, and other fringe
benefits that we may offer our employees from time to time.
Prior to
his employment, from October 1, 2007 to January 15, 2008 Dr. Hoffman earned
$15,000 for consulting services rendered to the company. In addition,
as compensation for his services to us as a consultant, Dr. Hoffman was granted
options to purchase an aggregate of 814,062 shares of our common stock at an
exercise price of $1.09 on August 7, 2007. In accordance with the terms of his
employment agreement, the terms of Dr. Hoffman's option grant were amended to
provide that in the event of a change of control transaction, a portion of Dr.
Hoffman's unvested options equal to the number of unvested options at the date
of the corporate transaction times the ratio of the time elapsed between August
7, 2007 and the date of corporate transaction over the vesting period (42
months), will automatically accelerate, and become fully vested.
The
Company has no other employment agreements with its executive
officers.
2006
Stock Incentive Plan
On
August 3, 2006, CNS California adopted the CNS California 2006 Stock Incentive
Plan (the "2006 Plan"). On March 7, 2007, in connection with the closing of the
merger transaction with CNS California, we assumed the CNS California stock
option plan and all of the options granted under the plan at the same price and
terms. The following is a summary of the 2006 Plan, which we use to
provide equity compensation to employees, directors and consultants to the
company.
The 2006
Plan provides for the issuance of awards in the form of restricted shares, stock
options (which may constitute incentive stock options (ISO) or nonstatutory
stock options (NSO)), stock appreciation rights and stock unit grants to
eligible employees, directors and consultants and is administered by the board
of directors. A total of 10 million shares of stock are reserved for issuance
under the 2006 Plan. As of September 30, 2008, there were 8,964,567 options and
183,937 restricted shares outstanding under the 2006 Plan and 851,496 shares
available for issuance of awards. The 2006 Plan provides that in any calendar
year, no eligible employee or director shall be granted an award to purchase
more than 3 million shares of stock. The option price for each share of stock
subject to an option shall be (i) no less than the fair market value of a share
of stock on the date the option is granted, if the option is an ISO, or (ii) no
less than 85% of the fair market value of the stock on the date the option is
granted, if the option is a NSO; provided, however, if the option is an ISO
granted to an eligible employee who is a 10% shareholder, the option price for
each share of stock subject to such ISO shall be no less than 110% of the fair
market value of a share of stock on the date such ISO is granted. Stock options
have a maximum term of ten years from the date of grant, except for ISOs granted
to an eligible employee who is a 10% shareholder, in which case the maximum term
is five years from the date of grant. ISOs may be granted only to eligible
employees.
Outstanding
Equity Awards at Fiscal Year-End 2008
The
following table presents information regarding outstanding options held by our
named executive officers as of the end of our fiscal year ended September 30,
2008. None of the named executive officers exercised options during
the fiscal year ended September 30, 2008.
|
Name
|
|
Number
of Securities Underlying
Unexercised
Options (#)
|
|
Option
Exercise
Price
($)
|
|
Option
Expiration Date
|
|
|
|
Exercisable
|
Unexercisable
|
|
|
|
|
|
Leonard
Brandt (1)
|
|
2,124,740
145,953
586,274
|
0
187,658
382,615
|
|
0.132
1.20
1.09
|
|
August
11, 2011
August
8, 2012
August
8, 2017
|
|
George
Carpenter (2)
|
|
242,213
|
726,662
|
|
0.89
|
|
October
1, 2017
|
|
Daniel
Hoffman (3)
|
|
305,276
119,013
|
419,786
0
|
|
1.09
0.12
|
|
August
8, 2017
August
11, 2016
|
|
Horace
Hertz (4)
|
|
298,492
|
0
|
|
1.09
|
|
August
8, 2017
|
|
Brad
Luce (5)
|
|
17,187
|
0
|
|
0.51
|
|
September
17, 2018
|
|
|
(1)
|
On
August 8, 2007, Mr. Brandt was granted options to purchase 1,302,500
shares of our common stock. The options are exercisable at
$1.20 per share as to 333,611 shares and $1.09 per share as to 968,889
shares. The options to purchase 333,611 shares vest as
follows: options to purchase 83,403 shares vested on August 8,
2007, the date of grant; options to purchase 243,250 shares
vest in equal monthly amounts of 6,950 shares over 35 months commencing on
January 31, 2008; the remaining options to purchase 6,958
shares vest on December 31, 2010. The options to purchase
968,889 shares vest as follows: options to purchase 269,357 shares vested
on August 8, 2007, the date of grant; options to purchase 135,675 shares
vest in equal monthly amounts of 27,135 shares over 5 months beginning on
August 31 2007; options to purchase 543,726 shares vest in equal monthly
amounts of 20,138 shares over 27 months beginning on January 31, 2008; the
remaining options to purchase 20,131 shares vest on April 30,
2010. Subsequent to our year ended September 30, 2008, Mr.
Brandt exercised his options to purchase 2,124,740 shares of the company’s
common stock at an exercise price of $0.132 per
share.
|
|
|
(2)
|
The
vesting terms of Mr. Carpenter’s options are described
above.
|
|
|
(3)
|
On
August 8, 2007, Dr. Hoffman was granted options to purchase 814,062 shares
of our common stock. The options are exercisable at $1.09 per
share and vest as follows: options to purchase 203,516 shares
vested on March 8, 2008; options to purchase 593,600 shares vest in equal
monthly installments of 16,960 shares over 35 months commencing on April
30, 2008; the remaining options to purchase 16,946 shares vest on March
31, 2011. . In accordance with the terms of his
employment agreement, the terms of Dr. Hoffman's option grant were amended
to provide that in the event of a change of control transaction, a portion
of Dr. Hoffman's unvested options equal to the number of unvested options
at the date of the corporate transaction times the ratio of the time
elapsed between August 7, 2007 and the date of corporate transaction over
the vesting period (42 months), will automatically accelerate, and become
fully vested.
|
On August
11, 2006, Dr. Hoffman was granted an option to purchase 119,013 shares of common
stock, which are now fully exercisable at an exercise price of $0.12 per
share.
|
|
(4)
|
On
August 8, 2007, Mr. Hertz was granted options to purchase 651,249 shares
of our common stock. The options are exercisable at $1.09 per
share and vest as follows: options to purchase 162,812 vested
on October 15, 2007; options to purchase 474,880 shares vest in
equal monthly amounts of 13,568 over 35 months beginning November 30,
2007; the remaining options to purchase 13,557 vest on October
15, 2010. On August 31, 2008, Mr. Hertz resigned from the
company, and his unvested options to purchase 352,757 shares of the
company’s common stock were
forfeited.
|
|
|
(5)
|
Consists
of options to purchase shares of common stock which vested prior to Mr.
Luce’s resignation on December 19,
2008.
|
Director
Compensation
During
our fiscal year ended September 30, 2008, except as described below, our
non-employee directors did not receive compensation for their services on our
board. We do not pay management directors for board service in
addition to their regular employee compensation. The full board of
directors has the primary responsibility for reviewing and considering any
revisions to director compensation, but may receive suggestions on this matter
from our Chief Executive Officer. Going forward, we intend to
compensate our non-employee directors for their service on our Board with a
combination of cash payments and option grants.
|
Non-Employee
Director Compensation
|
|
|
|
|
|
|
|
|
|
|
|
|
Name
|
|
Fiscal
Year
Ended
September
30,
|
|
Option
Awards
($)
|
|
|
All
Other
Compensation
($)
|
|
|
Total
($)
|
|
|
Jerome
Vaccaro
|
|
2008
|
|
|
0 |
|
|
|
0 |
|
|
|
0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Henry
Harbin
|
|
2008
|
|
|
13,200 |
(1) |
|
|
68,960 |
(2) |
|
|
82,160 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
David
Jones
|
|
2008
|
|
|
0 |
|
|
|
0 |
|
|
|
0 |
|
(1) As
compensation for his services as a director, on December 19, 2007, we granted
Mr. Harbin options to purchase 20,000 shares of our common stock at an exercise
price of $0.80 per share under our 2006 Stock Incentive Plan. The
options expire on December 19, 2017. The options vest in equal
installments of 5,000 shares on each of June 19, 2008, December 19, 2008, June
19, 2009, and December 19, 2009. The fair value of options was
estimated on the date of grant using the Black-Scholes option pricing model with
the following weighted-average assumptions: grant date fair value of
$0.80; dividend yield of 0; risk free interest rate of 4.0%; expected volatility
of 115% and an expected life of 5 years.
(2) On
April 15, 2008, we entered into a consulting agreement with Mr. Harbin which
expired on December 31, 2008. Pursuant to the agreement, we paid Mr.
Harbin a consulting fee of $24,000 in cash and granted Mr. Harbin options to
purchase 56,000 shares of our common stock at an exercise price of $0.96 per
share under our 2006 Stock Incentive Plan. The options expire on
April 15, 2018. Option to purchase 14,000 shares vested on the grant
date, options to purchase 37,328 shares vested in eight equal monthly
installments of 4,666 options commencing on April 30, 2008, and the remaining
options to purchase 4,672 shares vested on December 31, 2008. The
fair value of options was estimated on the date of grant using the Black-Scholes
option pricing model with the following weighted-average
assumptions: grant date fair value of $0.96; dividend yield of 0;
risk free interest rate of 3.78%; expected volatility of 172% and an expected
life of 5 years.
Most
recently, on March 17, 2009, we entered into a consulting agreement with Mr.
Harbin which expires on December 31, 2009 pursuant to which Dr. Harbin will be
paid an aggregate of $24,000 as compensation for his consulting
services. In addition, as further compensation, we granted Mr. Harbin
options to purchase 56,000 shares of our common stock at an exercise price of
$0.40 per share, with the option vesting in equal monthly installments over a
twelve month period commencing on January 1, 2009.
Securities
Authorized for Issuance Under Equity Compensation Plans
The
following table sets forth certain information regarding our equity compensation
plans as of September 30, 2008.
|
Plan
Category
|
|
Number
of securities to
be
issued upon exercise
of
outstanding options,
warrants
and rights
(a)
|
|
|
Weighted-average
exercise
price of
outstanding
options,
warrants
and rights
(b)
|
|
|
Number
of securities
remaining
available for
future
issuance under
equity
compensation plans
(c)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Equity
compensation plans approved by security holders
|
|
|
8,964,567 |
|
|
|
$0.60 |
|
|
|
851,496 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Equity
compensation plans not approved by security holders
|
|
|
0 |
|
|
|
$0 |
|
|
|
0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
|
8,964,567 |
|
|
|
$0.60 |
|
|
|
851,496 |
|
TRANSACTIONS WITH RELATED
PERSONS, PROMOTERS OR CERTAIN CONTROL PERSONS
Except as
follows, since September 30, 2006, there has not been, nor is there currently
proposed, any transaction or series of similar transactions to which we are or
will be a party:
|
|
·
|
in
which the amount involved exceeds the lesser of $120,000 or 1% of the
average of our total assets at year-end for the last two completed fiscal
years; and
|
|
|
·
|
in
which any director, executive officer, other stockholders of more than 5%
of our common stock or any member of their immediate family had or will
have a direct or indirect material
interest.
|
Transactions
with Leonard Brandt
From
August 2000 through February 2003, Leonard J. Brandt, a current director of the
corporation and our former Chief Executive Officer, together with Meyerlen, LLC,
a company in which Mr. Brandt owned a controlling interest, loaned CNS
California a total of approximately $718,900 and purchased warrants to purchase
approximately 945,750 shares of CNS California common stock, pursuant to the
terms of certain Note and Warrant Purchase Agreements. In October 2006, Mr.
Brandt agreed to cancel the promissory notes and convert the loans, including
all outstanding principal and accrued interest thereon, into 1,218,741 shares of
CNS California's Series A-1 Preferred Stock and 255,306 shares of CNS
California's Series A-2 Preferred Stock. At the closing of the merger
transaction on March 7, 2007 pursuant to which CNS California became a wholly
owned subsidiary of ours, the 1,218,741 shares of CNS California's Series A-1
Preferred Stock and 255,306 shares of CNS California's Series A-2 Preferred
Stock converted into an aggregate of 1,474,047 shares of our common
stock.
In
addition, please see the discussion below under the heading “Transaction with Sail Venture
Partners LP (formerly known as Odyssey Venture Partner II, L.P.)” for a
summary of a bridge financing transaction which closed on March 30, 2009, in
which Mr. Brandt participated.
Transaction
with Sail Venture Partners LP (formerly known as Odyssey Venture Partner II,
L.P.)
In May
2005, April 2006 and July 2006, Odyssey Venture Partners II, L.P. of which David
Jones is an affiliate, loaned CNS California an aggregate of approximately
$999,400 and purchased warrants to purchase approximately 523,305 shares of CNS
California common stock, pursuant to the terms of certain Note and Warrant
Purchase Agreements. In October 2006 Odyssey Venture Partners II, L.P. agreed to
cancel the promissory notes and convert the loans, including all outstanding
principal and accrued interest thereon, into 1,693,899 shares of CNS
California's Series A-1 Preferred Stock and 52,907 shares of CNS California's
Series A-2 Preferred Stock. At the closing of the merger transaction on March 7,
2007 pursuant to which CNS California became a wholly owned subsidiary of ours,
the 1,693,899 shares of CNS California's Series A-1 Preferred Stock and 255,306
shares of CNS California's Series A-2 Preferred Stock converted into an
aggregate of 1,949,205 shares of our common stock.
In October 2006, Odyssey
Venture Partner II, L.P. invested $800,000 in CNS California's
mezzanine financing and received 792,080 shares of CNS California's
Series B Preferred Stock and warrants to purchase 475,248 shares of CNS
California's common stock. David Jones is one of the two board
members that were designated by the holders of CNS California's Series B
Preferred Stock pursuant to a Voting Agreement entered into in connection with
the mezzanine financing and note conversion transaction. At the closing of the
merger transaction on March 7, 2007 pursuant to which CNS California became a
wholly owned subsidiary of ours, David Jones was appointed as a director of the
company.
On
March 7, 2007, Odyssey Venture Partners II, L.P. invested an aggregate of
$447,000 in the first closing of our private placement transaction in which we
sold 5,840,374 “Investment Units” at $1.20 per Investment Unit to institutional
investors and other high net worth individuals, and received gross proceeds of
approximately $7.0 million. Each Investment Unit consists of one share of our
common stock, and a five year non-callable warrant to purchase three-tenths of
one share of our common stock, at an exercise price of $1.80 per
share. In exchange for its investment, Odyssey
Venture Partners II, L.P. was issued 372,500 shares of our
common stock and a warrant to purchase 111,750 shares of our common stock at an
exercise price of $1.80 per share.
On March
30, 2009, we executed two senior secured convertible promissory notes each in
the principal amount of $250,000 with SAIL Venture Partners, LP (“SAIL”) and
Brandt Ventures, GP (“Brandt”). David Jones, a member of our board
of directors, is one of four managing members of Sail Venture Partners, LLC,
which is the general partner of SAIL. Leonard Brandt, also a member
of our board of directors and our former Chief Executive Officer, is the general
partner of Brandt.
These
notes accrue interest at the rate of 8% per annum and are due and payable upon a
declaration by the note holder(s) requesting repayment, unless sooner converted
into shares of our common stock (as described below), upon the earlier to occur
of: (i) June 30, 2009 or (ii) an Event of Default (as defined in the notes),
which includes the default that occurred as a result of Mr. Brandt no longer
serving as our Chief Executive Officer effective as of April 10,
2009. The notes are secured by a lien on substantially all of our
assets (including all intellectual property). In the event of a
liquidation, dissolution or winding up of the company, unless Brandt and/or Sail
informs us otherwise, we shall pay such investor an amount equal to the product
of 250% multiplied by the principal and all accrued but unpaid interest
outstanding on the note.
In concert with an equity financing
transaction of at least $1,500,000 (excluding any and all other debt that is
converted), 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.
On May
14, 2009, we entered into a Bridge Note and Warrant Purchase Agreement with
SAIL.
Pursuant
to the Purchase Agreement, on May 14, 2009, SAIL purchased a Secured Promissory
Note in the principal amount of $200,000 from us. In order to induce
SAIL to purchase the note, we issued to SAIL a warrant to purchase up to 100,000
shares of our common stock at a purchase price equal to $0.25 per
share. The warrant expires on the earlier to occur of May 31, 2016 or
a change of control of the company.
The
Purchase Agreement also provides that, at any time on or after June 30, 2009,
and provided that certain conditions are satisfied by us, SAIL will purchase
from us a second Secured Convertible Promissory Note in the principal sum of
$200,000 and will be issued a second warrant identical in terms to the warrant
described above. The aforementioned conditions include our entry into
a term sheet in which investors commit to participate in an equity financing by
us of not less than $2,000,000 (excluding any and all other debt that are to be
converted).
The notes
issued or issuable pursuant to the Purchase Agreement accrue interest at the
rate of 8% per annum and are due and payable, unless sooner converted into
shares of our common stock (as described below), upon the earlier to occur of:
(i) a declaration by SAIL on or after June 30, 2009 or (ii) an Event of Default
as defined in the notes. The note(s) are secured by a lien on
substantially all of our assets (including all intellectual
property). In the event of a liquidation, dissolution or winding up
of the company, unless SAIL informs us otherwise, we shall pay SAIL an amount
equal to the product of 250% multiplied by the principal and all accrued but
unpaid interest outstanding on the note(s).
In the
event we 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(s) 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
addition, in the event we issue preferred stock that is not part of an equity
financing described above, SAIL may, at its option, convert the principal and
all accrued, but unpaid interest outstanding under the note(s) into preferred
stock by dividing such amount by 85% of the per share price paid by the
purchasers’ of our preferred stock.
On August
26, 2009, the Company completed an equity financing transaction of approximately
$2 million. As a result of the financing, each of the notes described
above that were held by SAIL and Brandt automatically converted into common
stock, with SAIL receiving 1,758,356 shares and Brandt receiving 956,164
shares. In addition, pursuant to the terms of the notes, SAIL was
issued a non-callable five year warrant to purchase 879,178 shares of common
stock at an exercise price of $0.30 per share and Brandt was issued a
non-callable five year warrant to purchase 478,082 shares of common stock at an
exercise price of $0.30 per share.
In connection with the equity financing
referred to above, on August 26, 2009, SAIL purchased 6 Units for
$324,000. Each Unit consists of 180,000 shares of common stock and a
five year non-callable warrant to purchase an additional 90,000 shares of common
stock at an exercise price of $0.30 per share. The shares of common
stock and warrants comprising the Units are immediately separable and were
issued separately.
Transaction
with Henry Harbin
Prior to
his appointment as a Director, Dr. Harbin participated in the first closing of
our private placement transaction, pursuant to which we received gross proceeds
of approximately $7.0 million from institutional investors and other high net
worth individuals. Mr. Harbin received 8,334 shares of our common stock and a
warrant to purchase 2,501 shares of our common stock as a result of his
investment in the company.
In
addition, since June 2007, Dr. Harbin has acted as a strategic advisor to the
company, and has advised us on our marketing initiatives. As compensation for
his services as an advisor, on August 8, 2007, we granted Dr. Harbin a
non-qualified option to purchase 24,000 shares of our common stock at an
exercise price of $1.09 per share. Options to purchase 6,000 shares vested on
the date of grant, and the remaining 18,000 shares vested in equal installments
of 2,000 shares on each monthly anniversary of the grant date for a period of
nine months.
Subsequently,
on April 15, 2008, we entered into a consulting agreement which expired on
December 31, 2008 pursuant to which Dr. Harbin was paid an aggregate of $24,000
and was granted options to purchase 56,000 shares of our common stock at an
exercise price of $0.96 per share, with options to purchase 14,000 shares
vesting on the date of grant, options to purchase 37,328 shares vesting in eight
equal monthly installments of 4,666 options commencing on April 30, 2008, and
the remaining options to purchase 4,672 shares vesting on December 31,
2008.
Most
recently, on March 17, 2009, we entered into a consulting agreement with Mr.
Harbin which expires on December 31, 2009 pursuant to which Dr. Harbin will be
paid an aggregate of $24,000 as compensation for his consulting
services. In addition, as further compensation, we granted Mr. Harbin
options to purchase 56,000 shares of our common stock at an exercise price of
$0.40 per share, with the option vesting in equal monthly installments over a
twelve month period commencing on January 1, 2009.
Transactions
with Daniel Hoffman
On
January 11, 2008, we, through our wholly owned subsidiary, Colorado CNS
Response, Inc. and pursuant to the terms of a Stock Purchase Agreement, acquired
all of the outstanding common stock of Neuro-Therapy Clinic, PC, a Colorado
professional medical corporation wholly owned by Dr. Hoffman ("NTC") in exchange
for a non-interest bearing note of $300,000 payable in equal monthly
installments over 36 months. At the time of the transaction, NTC was
our largest customer. Upon the completion of the acquisition, Dr.
Hoffman was appointed our Chief Medical Officer. The Stock Purchase
Agreement provides that upon the occurrence of certain events, as defined in the
purchase agreement, Dr. Hoffman has a repurchase option for a period of three
years subsequent to the closing, as well as certain rights of first refusal, in
relation to the assets and liabilities we acquired.
Prior to
his employment with us, Dr. Hoffman participated in our private placement
transaction which closed on May 16, 2007. In the private placement, we received
gross proceeds of approximately $7.8 million from institutional investors and
other high net worth individuals, including $50,000 from Dr. Hoffman. In
exchange for his investment, Dr. Hoffman was issued 41,667 shares of our common
stock, and a fully-vested five year non-callable warrant to purchase 12,501
shares of our common stock at an exercise price of $1.80 per share.
In
addition, Dr. Hoffman has acted as a consultant to the corporation on various
matters since 2003. Prior to August of 2006, Dr. Hoffman was compensated for his
services through the issuance of options to purchase an aggregate of 119,013
shares of our common stock at $0.12 per share, and through the issuance of
56,377 shares of our common stock. Subsequent to August of 2006, Dr. Hoffman has
received cash payments of $63,750 in consideration for his services to us, as
well as an option to purchase 814,062 shares of our common stock at an exercise
price of $1.09 per share.
Transactions
with John Pappajohn
On June
12, 2009, we entered into a Bridge Note and Warrant Purchase Agreement with Mr.
John Pappajohn (“Pappajohn”).
Pursuant
to the Purchase Agreement, on June 12, 2009, Pappajohn purchased a Secured
Convertible Promissory Note in the principal amount of $1,000,000 from
us. In order to induce Pappajohn to purchase the note, we issued to
Pappajohn a warrant to purchase up to 3,333,333 shares of our 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 Purchase Agreement provides that the principal amount of
$1,000,000 together with a single Premium Payment of $90,000 which is due and
payable, unless sooner converted into shares of our common stock (as described
below), upon the earlier to occur of: (i) a declaration by Pappajohn on or after
June 30, 2010 or (ii) an Event of Default as defined in the note. The
note is secured by a lien on substantially all of our assets
(including all intellectual property). In the event of a liquidation,
dissolution or winding up of the company, unless Pappajohn informs us otherwise,
we shall pay Pappajohn an amount equal to the product of 250% multiplied by the
then outstanding principal amount of the note and the Premium
Payment.
In the
event we consummate 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 will be
repaid in cash at the time of such equity financing) shall 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.
On August
26, 2009, the Company completed an equity financing transaction of approximately
$2 million. As a result of the financing, the note described above
held by Mr. Pappajohn automatically converted into common stock, with Mr.
Pappajohn receiving 3,333,334 shares. In addition, pursuant to the
terms of the note, Mr. Pappajohn received a five year non-callable warrant to
purchase 1,666,667 shares of common stock at an exercise price of $0.30 per
share.
In connection with the equity financing
referred to above, on August 26, 2009, Mr. Pappajohn invested an additional
$1,000,000 in the Company. In exchange for his investment, the
Company issued an additional 3,333,3334 shares of common stock to Mr. Pappajohn
and a five year non-callable warrant to purchase 1,666,667 shares of common
stock at an exercise price of $0.30 per share.
Transactions
With Promoters And Control Persons
Prior to
our merger with CNS California, which closed on March 7, 2007, Strativation,
Inc. (now called CNS Response, Inc.) existed as a "shell company" with nominal
assets whose sole business was to identify, evaluate and investigate various
companies to acquire or with which to merge.
Shares
for Debt Agreement
Prior to
our merger with CNS California, on January 11, 2007, we entered into a Shares
For Debt Agreement with Richardson & Patel LLP ("R&P"), our former legal
counsel, pursuant to which we agreed to issue and R&P agreed to accept
645,846 restricted shares of our common stock (the "Shares") as full and
complete settlement of a portion of the total outstanding debt in the amount of
$261,202 that we owed to R&P for legal services (the "Partial Debt"). On
January 15, 2007, the company and R&P agreed to amend and restate the Shares
for Debt Agreement to increase the number of Shares to be issued in settlement
of such Partial Debt to 656,103 restricted shares of our common stock, which
then represented 75.5% of our issued and outstanding common stock.
Registration
Rights Agreement
On
January 11, 2007, we entered into a Registration Rights Agreement in connection
with the above referenced Shares For Debt Agreement with R&P and various
other stockholders of the Corporation signatory thereto ("Majority
Stockholders") in connection with the shares of the company acquired pursuant to
the Shares For Debt Agreement and certain other transactions that took place on
or around July 18, 2006. On January 15, 2007, the company and the Majority
Stockholders agreed to amend and restate the Registration Rights Agreement to
provide registration rights to the Majority Stockholders for up to 767,101
shares of our common stock held or to be acquired by them.
Merger
Agreement
On
January 16, 2007, we entered into an Agreement and Plan of Merger with CNS
Response, Inc., a California corporation (or CNS California), and CNS Merger
Corporation, a California corporation and our wholly-owned subsidiary that was
formed to facilitate the acquisition of CNS California. On March 7, 2007, the
merger with CNS California closed, CNS California became our wholly-owned
subsidiary, and we changed our name from Strativation, Inc. to CNS Response,
Inc.. At the Effective Time of the Merger (as defined in the Merger Agreement,
as amended on February 23, 2007), MergerCo was merged with and into CNS
California, the separate existence of MergerCo ceased, and CNS California
continued as the surviving corporation at the subsidiary level. We issued an
aggregate of 17,744,625 shares of our common stock to the stockholders of CNS
California in exchange for 100% ownership of CNS California. Additionally, we
assumed an aggregate of 8,407,517 options to purchase shares of common stock and
warrants to purchase shares of common stock on the same terms and conditions as
previously issued by CNS California. Pursuant to the Merger Agreement, our
former sole director and executive officer, Silas Phillips, resigned as a
director and executive officer of our company effective as of the closing of the
merger, and the directors and officers of CNS California were appointed to serve
as directors and officer of our company. Except for the Merger Agreement, as
amended, and the transactions contemplated by that agreement, neither CNS
California, nor the directors and officers of CNS California serving prior to
the consummation of the Merger, nor any of their associates, had any material
relationship with us, or any of our directors and officers, or any of our
associates prior to the merger. Following the merger, the business conducted by
the company is the business conducted by CNS California.
Pursuant
to the terms of the Merger Agreement, we paid an advisory fee of $475,000 to
Richardson & Patel, LLP, our former legal counsel and a principal
shareholder, immediately upon the closing of the merger.
AUDIT RELATED
MATTERS
Report
of Board of Directors On Audit Committee Functions
We do not
have an Audit Committee. For the fiscal year ended September 30,
2008, the Company's board of directors has performed the duties of an Audit
Committee and is responsible for providing objective oversight of the Company's
internal controls and financial reporting process.
In
fulfilling its responsibilities for the financial statements for fiscal year
2008, the board of directors:
|
|
·
|
Reviewed
and discussed the audited financial statements for the year ended
September 30, 2008 with management and Cacciamatta Accountancy Corporation
(the “Auditors”), the Company’s independent auditors;
and
|
|
|
·
|
Received
written disclosures and the letter from the Auditors regarding its
independence as required by Independence Standards Board Standard No.
1. The Board discussed with the Auditors their
independence.
|
In
fulfilling its responsibilities for the financial statements for fiscal year
2008, the board of directors discussed with the Auditors the matters required to
be discussed by Statement on Auditing Standards No. 61 relating to the conduct
of the audit.
Based on
the board of directors’ review of the audited financial statements and
discussions with management and the Auditors, the board of directors approved
the inclusion of the audited financial statements in the Corporation’s Annual
Report on Form 10-K for the year ended September 30, 2008 for filing with the
SEC.
The board
of directors also considered the status of pending litigation and other areas of
oversight relating to the financial reporting and audit process that the Board
determined appropriate.
The board
of directors has considered whether the provision of non-audit services is
compatible with maintaining the principal accountant’s
independence.
The
information in this Report of board of directors shall not be deemed to be
“soliciting material,” or to be “filed” with the Securities and Exchange
Commission or to be subject to Regulation 14A or 14C as promulgated by the
Securities and Exchange Commission, or to the liabilities of Section 18 of the
Exchange Act.
| |
BOARD
OF DIRECTORS
Leonard
Brandt
David
Jones
Jerome
Vaccaro
Henry
Harbin
|
Services
Provided by the Independent Auditors
Our board of directors plans to appoint
Cacciamatta Accountancy Corporation as the independent registered public
accounting firm to audit our financial statements for the fiscal year ending
September 30, 2009. We do not expect representatives of Cacciamatta Accountancy
Corporation to be
present at the Annual Meeting. If they do attend, they will be available to
respond to appropriate questions and will be given an opportunity to make a
statement if they so desire.
Pre-Approval
Policies and Procedures
Our board
of directors does not have an Audit Committee. The functions customarily
delegated to an Audit Committee are performed by our full board of directors.
Our Audit Committee, which consists of our entire board of directors, is
directly responsible for interviewing and retaining our independent accountant,
considering the accounting firm’s independence and effectiveness, and
pre-approving the engagement fees and other compensation to be paid to, and the
services to be conducted by, the independent accountant. During each of the
fiscal years ended September 30, 2008 and September 30, 2007, respectively, our
board of directors pre-approved 100% of the services described
below.
Fees
Paid to Independent Registered Public Accounting Firm
Audit
Fees
The
aggregate fees billed for professional services rendered by Cacciamatta
Accountancy Corporation for professional services rendered for the audit of our
annual financial statements and review of the financial statements included in
our quarterly reports or services that are normally provided by the accountant
in connection with statutory and regulatory filings or engagements for fiscal
years 2008 and 2007 were $102,500 and $137,000, respectively.
Audit-Related
Fees
Cacciamatta
Accountancy Corporation billed us an aggregate of approximately $0 and $0 in
fees for assurance and related services related to the performance of the audit
or review of our financial statements for the fiscal years ended September 30,
2008 and September 30, 2007, respectively.
Tax
Fees
The
aggregate fees to be billed by Cacciamatta Accountancy Corporation for
professional services rendered for tax compliance, tax advice, and tax planning
during our fiscal years ending September 30, 2008 and September 30, 2007 were $0
and $0, respectively.
All
Other Fees
None.
SECURITY OWNERSHIP OF
CERTAIN BENEFICIAL OWNERS AND
MANAGEMENT
The
following table presents information regarding the beneficial ownership of our
common stock as of August 31, 2009 by:
|
|
·
|
each
of the named executive officers listed in the summary compensation
table;
|
|
|
·
|
each
of our directors and director
nominees;
|
|
|
·
|
all
of our directors and executive officers as a group;
and
|
|
|
·
|
each
shareholder known to us to be the beneficial owner of more than 5% of our
common stock.
|
Beneficial
ownership is determined in accordance with the rules of the SEC and generally
includes voting or investment power with respect to securities. Unless otherwise
indicated below, to our knowledge, the persons and entities named in the table
have sole voting and sole investment power with respect to all shares
beneficially owned, subject to community property laws where applicable. Shares
of our common stock subject to options and warrants from the Company that
are currently exercisable or exercisable within 60 days of August 31, 2009 are
deemed to be outstanding and to be beneficially owned by the person holding the
options for the purpose of computing the percentage ownership of that person but
are not treated as outstanding for the purpose of computing the percentage
ownership of any other person.
The
information presented in this table is based on 41,781,129 shares of our
common stock outstanding on August 31, 2009. Unless otherwise
indicated, the address of each of the executive officers and directors and 5% or
more shareholders named below is c/o CNS Response, Inc., 2755 Bristol St., Suite
285, Costa Mesa, CA 92626.
|
|
|
Number
of Shares
Beneficially
Owned
|
|
|
Name
of Beneficial Owner
|
|
Number
|
|
|
Percentage
of
Shares
Outstanding
|
|
|
|
|
|
|
|
|
|
|
Named
Executive Officers and Directors:
|
|
|
|
|
|
|
|
George
Carpenter
Chief
Executive Officer and Chairman of the Board (1)
|
|
|
504,605 |
|
|
|
1.2 |
% |
|
David
B. Jones(2)
Director
|
|
|
8,696,055 |
|
|
|
19.8 |
% |
|
Dr.
Jerome Vaccaro
Director
(3)
|
|
|
20,000 |
|
|
|
* |
|
|
Dr.
Henry Harbin
Director
(4)
|
|
|
152,502 |
|
|
|
* |
|
|
Daniel
Hoffman
President
and Chief Medical Officer (5)
|
|
|
755,814 |
|
|
|
1.8 |
% |
|
Horace
Hertz (6)
|
|
|
298,492 |
|
|
|
* |
|
|
Brad
Luce (7)
|
|
|
17,187 |
|
|
|
* |
|
|
John
Pappajohn (8)
|
|
|
12,333,335 |
|
|
|
26.0 |
% |
|
Tommy
Thompson
|
|
|
0 |
|
|
|
0 |
|
|
Leonard
Brandt (9)
Director
|
|
|
11,054,894 |
|
|
|
25.2 |
% |
|
Executive
Officers and Directors as a group (10 persons) (10)
|
|
|
33,832,883 |
|
|
|
63.2 |
% |
|
|
|
|
|
|
|
|
|
|
|
5%
Stockholders:
|
|
|
|
|
|
|
|
|
|
Sail
Venture Partners LP (2)
|
|
|
8,696,055 |
|
|
|
19.8 |
% |
|
Heartland
Advisors, Inc. (11)
|
|
|
2,340,000 |
|
|
|
5.5 |
% |
|
Brian
MacDonald (12)
|
|
|
2,256,396 |
|
|
|
5.3 |
% |
___________________________
|
(1)
|
Consists
of options to acquire 484,421 shares of common stock issuable upon the
exercise of vested and exercisable options.
|
|
(2)
|
Consists
of (a) 6,471,067 shares of Common Stock and (b) 2,224,988 shares of Common
Stock issuable upon the exercise of vested and exercisable warrants held
by Sail Venture Partners, LP. Sail Venture Partners, LLC is the
general partner of Sail Venture Partners, L.P.. The unanimous
vote of the managing members of Sail Venture Partners, LLC (who are Walter
Schindler, Alan Sellers, Thomas Cain, and David B. Jones), is required to
voting and make investment decisions over the shares held by this selling
stockholder. The address of Sail Venture Partners, L.P. is 600
Anton Blvd., Suite 1010, Costa Mesa, CA
92626.
|
|
(3)
|
Consists
of options to acquire 20,000 shares of common stock issuable upon the
exercise of vested and exercisable
options.
|
|
(4)
|
Consists
of (a) 8,333 shares of common stock, (b) 2,501 shares of common stock
issuable upon the exercise of warrants to purchase common stock and (c)
options to acquire 141,667 shares of common stock issuable upon the
exercise of vested and exercisable
options.
|
|
(5)
|
Consists
of (a) 98,544 shares of common stock, which includes 500 shares held by
Mr. Hoffman’s daughter (b) options to acquire 644,769 shares of common
stock issuable upon the exercise of vested and exercisable options, and
(c) warrants to acquire 12,501 shares of common
stock.
|
|
(6)
|
Consists
of options to acquire 298,492 shares of common stock issuable upon the
exercise of vested and exercisable
options.
|
|
(7)
|
Consists
of options to acquire 17,187 shares of common stock issuable upon the
exercise of vested and exercisable options.
|
|
|
|
|
(8)
|
Consists
of (a) 6,666,668 shares of common stock and (b) 5,666,667 shares of common
stock issuable upon the exercise of vested and exercisable warrants to
purchase common stock. The address of John Pappajohn is 2166
Financial Center, Des Moines, IA 50309.
|
|
|
|
|
(9)
|
Consists
of (a) 8,890,795 shares of common stock (including 540,000 shares owned by
Mr. Brandt's children and 956,164 shares held by Brandt Ventures), (b)
1,079,728 shares reserved for issuance upon exercise of warrants to
purchase common stock (including warrants to purchase 478,082 shares of
common stock held by Brandt Ventures) and (c) 1,084,371 shares reserved
for issuance upon exercise of options to purchase common stock held by Mr.
Brandt.
|
|
(10)
|
Consists
of 22,135,407 shares of common stock and 11,697,476 shares of common stock
issuable upon the exercise of vested and exercisable options and
warrants.
|
|
(11)
|
Consists
of 1,800,000 shares of common stock and 540,000 shares reserved for
issuance upon exercise of warrants to purchase common
stock. Heartland Group Value Fund is affiliated with Hartland
Investor Services, LLC, a registered broker/dealer and member of
NASD. Heartland Group Value Fund purchased or otherwise
acquired its shares in the ordinary course of business and, at the time of
such purchase/acquisition, had no agreements or understandings, directly
or indirectly, with any person, to distribute the securities to be
resold. Mr.Paul T. Beste, Vice President & Secretary of
Heartland Group Inc., exercises voting and investment authority over the
shares held by this selling stockholder. The address of the
selling stockholder is c/o Brown Brothers Harriman, 140 Broadway St., New
York, NY 10005.
|
|
(12)
|
Consists
of 1,242,375 shares of common stock and 1,014,021 shares of common stock
issuable upon the exercise of vested and exercisable options to purchase
common stock. The address of Brian MacDonald is 4007 Beard Ave.
South, Minneapolis, MN 55410.
|
OTHER
MATTERS
Purported
September 4 Stockholders Meeting
Pursuant to a notice dated August 25, Leonard Brandt
purported to hold a special meeting of stockholders on September 4,
2009. In his proxy materials accompanying the notice, Mr. Brandt
claimed that the record date for the purported meeting was August
24. Representatives of the Company attended the purported meeting for
the purposes of objecting to the meeting and any attempt to take action and to
observe the proceedings. Brandt claimed that a quorum was present and
proceeded to call a vote on his proposal to elect himself and his nominees as
directors. He then claimed that his own shares and the shares for
which he purportedly held proxies were sufficient to elect Brandt and the other
nominees.
As
the Company has previously stated in its SEC filings and press releases, Mr.
Brandt’s attempt to call and hold a special meeting was not made in compliance
with the Company’s bylaws. While the Company’s bylaws permit
stockholders to call special meetings under certain circumstances, in order to
validly call a meeting, the stockholder or stockholders wishing to call the
meeting must follow certain procedures which Mr. Brandt did not
follow. In addition, even if he had complied with the procedural
requirements, his proposal regarding the election of directors was invalid
because our bylaws do not permit stockholders to call a special meeting for the
purpose of electing directors, as Mr. Brandt claims to have done. Mr.
Brandt was aware of each of these bylaw provisions when he distributed his proxy
materials to CNS stockholders and sent his notice of the purported
meeting. In addition, his purported record date of August 24 was
invalid because the Company’s board of directors had already established August
27 as the record date, and, as a result, not all of the stockholders entitled to
vote at his purported meeting were permitted to do so. For these
reasons, the Company has taken the position that no valid stockholder action was
taken on September 4, no changes to the board of directors occurred as a result,
and the valid election of the Company’s directors will occur at our annual
meeting.
Based
on the Company’s review of documents provided by Mr. Brandt, he appears to have
obtained a total of 60 proxies representing an aggregate of 16,334,777 shares in
connection with the purported September 4 meeting. As of his
purported record date of August 24, there were a total of 28,923,273 CNS shares
outstanding, but as of the correct record date of August 27, there were a total
of 41,781,129 shares outstanding. As a result, Mr. Brandt’s claim
that he achieved a quorum at the meeting can only be correct if he relies on the
incorrect record date; using the correct record date would have resulted in only
approximately 39.1% of the shares being present, which is far below the 50%+
necessary to constitute a quorum. Of the 16,334,777 shares
purportedly present at the September 4 meeting in person and by proxy, only
approximately 14,300,000 voted in favor of Mr. Brandt and his
nominees. If Mr. Brandt’s own “For” votes are excluded (including his
own votes and those of his minor children), only approximately 15.3% of the
outstanding shares voted for him, if the number of shares outstanding on August
24 is used. That percentage drops to 12.2% if the shares of EAC
Investment, part of Mr. Brandt’s group that purportedly called the meeting, are
excluded.
Subsequent to the purported meeting, Mr. Brandt
filed an action in the Delaware Court of Chancery against the Company and its
other directors – George Carpenter, Henry T. Harbin, M.D., David B. Jones,
Jerome Vaccaro, M.D., John Pappajohn and Tommy Thompson – pursuant to Section
225 of the Delaware General Corporation Law. Section 225 provides for
a statutory mechanism in for the review of contested elections and any other
stockholder vote involving Delaware-incorporated companies like CNS. Mr.
Brandt’s action seeks to have the Court declare that his meeting and election
were valid. The Company intends to vigorously contest Brandt’s claims
and will file its response as required by Delaware law. As of the
date of this proxy statement, no date has been set for any hearings with respect
to these matters, and it is currently unclear when the Section 225 action will
be heard or decided. We believe that it is unlikely that there will
be a final judicial decision on these matters until after our annual meeting is
held. Until that time, the Company’s current directors remain in office and
continue to be responsible for all matters relating to CNS. Mr.
Brandt has filed a motion for what is known as a “status quo” order, which asks
the Court to order the current directors to operate the Company in the ordinary
course of business while the Section 225 action is pending and take or refrain
from taking certain actions during that time. In order to justify the
entry of a status quo order, Mr. Brandt must demonstrate (i) that the order will
avoid irreparable harm, (ii) that he has a reasonable likelihood of success on
the merits of his case and (iii) that the harm to Mr. Brandt in not having the
order outweighs the harm to the Company. The Company intends to
contest this motion and also contest the form of order Mr. Brandt is expected to
propose; alternatively, the Company will propose its own form of
order. As of the date of this proxy statement, no date has been set
for any hearings with respect to these matters, and it is currently unclear when
the motion will be heard or decided.
One
or more of the requests Mr. Brandt has made through his form of proposed status
quo order would operate to prevent us from having our September 29 annual
meeting. The Company believes that this is indicative or Mr. Brandt’s
desire to prevent a fair process through which all CNS stockholders are given
the opportunity to vote in the election of directors. If the Court
enters a form of status quo order that would operate to prevent us from having
our September 29 annual meeting, we will comply with that order and postpone or
adjourn the annual meeting to a later date (unless such order prevents us from
doing so). If we postpone or adjourn the meeting, it is our intention
to use any proxies we obtain prior to such postponement or adjournment at the
meeting when it occurs, subject to any restrictions on our ability to do so
under applicable law or order of any court with authority over CNS and/or our
annual meeting. We also may consider appeals or other legal action
that would allow us to hold our annual meeting on September 29 or as soon as
practicable after that date, although we cannot give you any assurance that we
will be successful in our efforts. However, it is currently our plan
to proceed with the annual meeting so as to provide all CNS stockholders to
opportunity participate in the election of directors.
As
noted above, we believe that it is unlikely that there will be a final judicial
decision on the matters to be addressed in the Section 225 action until after
our annual meeting is held. Our holding of an annual meeting and the election of
directors by our stockholders at that meeting do not, in and of themselves, mean
that Mr. Brandt’s Section 225 action will not continue. Therefore, it
is possible that Mr. Brandt could be provided relief that is not consistent with
the vote of the stockholders at the September 29 meeting, including the
possibility that our nominees will not be deemed to have been elected as
directors even if they otherwise would have received the votes of a majority of
the CNS stock voting at the meeting. It is also possible that Mr.
Brandt could bring another Section 225 action against the Company to challenge
any action taken at our September 29 annual meeting and that a court could
provide relief that is not consistent with the vote of the stockholders at the
September 29 meeting, including the possibility that our nominees will not be
deemed to have been elected as directors even if they otherwise would have
received the votes of a majority of the CNS stock voting at the
meeting.
Section
16(a) Beneficial Ownership Reporting Compliance
Section
16(a) of the Securities Exchange Act of 1934, as amended, requires our directors
and executive officers and the holders of more than 10% of our common stock to
file with the Securities and Exchange Commission initial reports of ownership
and reports of changes in ownership of our equity securities. Based solely on
our review of the copies of the forms received by us and written representations
from certain reporting persons that they have complied with the relevant filing
requirements, we believe that, during the year ended September 30, 2008, all of
our executive officers, directors and the holders of 10% or more of our common
stock complied with all Section 16(a) filing requirements, except for Henry
Harbin who did not timely file a Form 3 and a Form 4 to report one transaction,
and Brad Luce, who did not timely file a Form 4 to report one
transaction.
Stockholder
Proposals
Any
stockholder who intends to present a proposal at the 2010 Annual Meeting of
Stockholders for inclusion in the Company’s Proxy Statement and Proxy form
relating to such Annual Meeting must submit such proposal to the Company at its
principal executive offices by June 2, 2010. In addition, in the
event a stockholder proposal is not received by the Company by August 15, 2010,
the Proxy to be solicited by the board of directors for the 2010 Annual Meeting
will confer discretionary authority on the holders of the Proxy to vote the
shares if the proposal is presented at the 2010 Annual Meeting without any
discussion of the proposal in the Proxy Statement for such meeting.
SEC rules
and regulations provide that if the date of the Company’s 2010 Annual Meeting is
advanced or delayed more than 30 days from the date of the 2009 Annual Meeting,
stockholder proposals intended to be included in the proxy materials for the
2010 Annual Meeting must be received by the Company within a reasonable
time before the Company begins to print and mail the proxy materials for the
2010 Annual Meeting. Upon determination by the Company that the date
of the 2010 Annual Meeting will be advanced or delayed by more than 30 days from
the date of the 2009 Annual Meeting, the Company will disclose such change in
the earliest possible Quarterly Report on Form 10-Q.
Solicitation
Of Proxies
It is
expected that the solicitation of Proxies will be by mail. The cost
of solicitation by management will be borne by the Company. The
Company will reimburse brokerage firms and other persons representing beneficial
owners of shares for their reasonable disbursements in forwarding solicitation
material to such beneficial owners. Proxies may also be solicited by
certain of our directors and officers, without additional compensation,
personally or by mail, telephone, telegram or otherwise. To date, we
have spent $25,000 in connection with the solicitation of security holders and
we estimate that the total amount to be spent in connection with such activities
will be $75,000. We also
may engage a proxy solicitation firm to assist with the solicitation of proxies,
although we have not yet determined to do so, and we expect that if we do engage
a proxy solicitation firm that the additional cost to be borne by us will be
approximately $35,000.
Annual
Report On Form 10-K
THE
COMPANY’S ANNUAL REPORT ON FORM 10-K, WHICH HAS BEEN FILED WITH THE SECURITIES
AND EXCHANGE COMMISSION FOR THE YEAR ENDED SEPTEMBER 30, 2008, WILL BE MADE
AVAILABLE TO STOCKHOLDERS WITHOUT CHARGE UPON WRITTEN REQUEST TO CNS RESPONSE,
INC., 2755 BRISTOL ST., SUITE 285, COSTA MESA, CALIFORNIA 92626 ATTN: GEORGE
CARPENTER.
| |
ON
BEHALF OF THE BOARD OF DIRECTORS
/s/
George Carpenter
George
Carpenter, Chairman of the Board and
|
2755
Bristol St. Suite 285
Costa
Mesa, CA 92626
September
15, 2009
APPENDIX
I
ADDITIONAL
INFORMATION CONCERNING PERSONS WHO MAY ASSIST IN THE
SOLICITATION
OF PROXIES BY THE COMPANY
Our board of directors (other than
Leonard Brandt) and our named executive officers may assist the Company in
soliciting proxies for our Annual Meeting. Under the rules of the
Securities and Exchange Commission they are considered to be “participants” in
the Company’s solicitation of proxies for that meeting. We have
included the name of each of these persons in the sections of the proxy
statement entitled “PROPOSAL NO. 1 – ELECTION OF DIRECTORS” and “Information
Regarding the board of directors and Committees and Company
Management.” In the discussion below, we refer to these persons as
“Company Representatives.”
Information regarding the principal
occupations and other matters regarding these Company Representatives who are
our directors and director nominees is set forth in the section of the proxy
statement entitled “PROPOSAL NO. 1 – ELECTION OF DIRECTORS”. Information
regarding the principal occupations and other matters regarding these Company
Representatives who are our executive officers is set forth in the section of
the proxy statement entitled “Information Regarding the board of directors and
Committees and Company Management.” The principal business address
for each Company Representative is c/o CNS Response, Inc., 2755 Bristol Street,
Suite 285, Costa Mesa, CA 92626.
The number of shares of the Company’s
common stock directly or indirectly beneficially owned as of August 31, 2009 by
each of the Company Representatives is set forth in the section of the proxy
statement entitled “Security Ownership of Certain Beneficial Owners and
Management.” Except as may be disclosed in such section, none of the
Company Representatives owns any of the Company’s securities of record but not
beneficially.
Information
Regarding Transactions in the Company’s Securities by Participants
The following table sets
forth all purchases or sales of securities of the Company by the Company
Representatives since August 31, 2007. Unless otherwise
indicated, all transactions were in the public market or pursuant to our equity
compensation plans and none of the purchase price or market value of those
shares is represented by funds borrowed or otherwise obtained for the purpose of
acquiring or holding such securities.
|
Name
|
|
Date
|
|
Title
of Security
|
|
Amount
Purchased/Sold
|
|
John
Pappajohn
|
|
08/26/2009
|
|
Common
stock and warrant to purchase common stock
|
|
(1)
|
|
David
Jones
|
|
08/26/2009
|
|
Common
stock and warrant to purchase common stock
|
|
(2)
|
|
John
Pappajohn
|
|
08/26/2009
|
|
Common
stock and warrant to purchase common stock
|
|
(3)
|
|
David
Jones
|
|
08/26/2009
|
|
Common
stock and warrant to purchase common stock
|
|
(4)
|
|
John
Pappajohn
|
|
06/12/2009
|
|
Warrant
to purchase common stock
|
|
3,333,333(5)
|
|
David
Jones
|
|
05/14/2009
|
|
Warrant
to purchase common stock
|
|
100,000(6)
|
|
David
Jones
|
|
03/30/2009
|
|
Convertible
promissory note
|
|
*(7)
|
|
Henry
Harbin
|
|
03/17/2009
|
|
Option
to purchase common stock
|
|
56,000
|
|
Henry
Harbin
|
|
04/15/2008
|
|
Option
to purchase common stock
|
|
56,000
|
|
Henry
Harbin
|
|
12/19/2007
|
|
Option
to purchase common stock
|
|
20,000
|
|
George
Carpenter
|
|
10/01/2007
|
|
Option
to purchase common stock
|
|
435,181
|
|
George
Carpenter
|
|
10/01/2007
|
|
Option
to purchase common stock
|
|
533,694
|
_______________________________
|
(1)
|
On
August 26, 2009, the Company completed an equity financing transaction of
approximately $2 million. Mr. Pappajohn invested $1,000,000 in
the Company’s equity financing. In exchange for his investment,
the Company issued 3,333,3334 shares of common stock to Mr. Pappajohn and
a five year non-callable warrant to purchase 1,666,667 shares of common
stock at an exercise price of $0.30 per share. As of the date
of this proxy statement, the warrant has not been exercised as to any
shares.
|
|
(2)
|
On
August 26, 2009, SAIL Venture Partners, LP (“SAIL”) invested $324,000 in
the Company’s equity financing. In exchange for its investment,
the Company issued 1,080,000 shares of common stock to SAIL and a five
year non-callable warrant to purchase 540,000 shares of common stock at an
exercise price of $0.30 per share. Sail Venture Partners, LLC
is the general partner of SAIL, and Mr. Jones is one of four managing
members of Sail Venture Partners, LLC who unanimously make voting and
investment decisions in relation to the securities held by
SAIL. As of the date of this proxy statement, the warrant has
not been exercised as to any shares.
|
|
|
|
|
(3)
|
As
a result of the Company completing an equity financing of approximately $2
million on August 26, 2009, the note described below in footnote (5) held
by Mr. Pappajohn automatically converted into common stock, with Mr.
Pappajohn receiving 3,333,334 shares. In addition, pursuant to
the terms of the note, Mr. Pappajohn received a five year non-callable
warrant to purchase 1,666,667 shares of common stock at an exercise price
of $0.30 per share. As of the date of this proxy statement, the
warrant has not been exercised as to any shares.
|
|
|
|
|
(4)
|
As
a result of the Company completing an equity financing of approximately $2
million on August 26, 2009, the notes described below in footnotes (6) and
(7) held by SAIL automatically converted into common stock, with SAIL
receiving an aggregate of 1,758,356 shares. In addition,
pursuant to the terms of the notes, SAIL received five year non-callable
warrants to purchase an aggregate of 879,178 shares of common stock at an
exercise price of $0.30 per share. As of the date of this proxy
statement, the warrants have not been exercised as to any
shares.
|
|
|
|
|
(5)
|
This
warrant was issued in connection with Mr. Pappajohn’s purchase of a
Secured Convertible Promissory Note from the Company in the principal
amount of $1,000,000. The exercise price of the warrant is
$0.30 per share and the warrant expires on June 30, 2016. As of
the date of this proxy statement, the warrant has not been exercised as to
any shares. The amount indicated does not include shares of
common stock issuable upon conversion of the Secured Convertible
Promissory Note. In the event the Company completes an equity
financing transaction of at least $1,500,000 (excluding any and all notes
and other liabilities or indebtedness which are converted), the
then-outstanding principal amount will automatically convert into the
securities issued in such financing at the per share price paid by the
investors in such financing. On August 26, 2009, the Company
completed an equity financing of approximately $2 million, and this note
was converted in shares of common stock. Please see footnote
(3) above.
|
|
|
|
|
(6)
|
This
warrant was issued in connection with the purchase by SAIL of a Secured
Convertible Promissory Note from the Company in the principal amount of
$200,000. The exercise price of the warrant is $0.25 per share
and the warrant expires on May 31, 2016. As of the date of this
proxy statement, the warrant has not been exercised as to any
shares. The amount indicated does not include shares of common
stock issuable upon conversion of the Secured Convertible Promissory
Note. In the event the Company completes an equity financing
transaction of at least $1,500,000 (excluding any and all notes and other
liabilities or indebtedness which are converted), the
then-outstanding principal amount will automatically convert into the
securities issued in such financing at 85% of the per share price paid by
the investors in such financing. If the Company issues
preferred stock not part of such a financing, SAIL has the option to
convert the principal and all accrued, but unpaid interest outstanding
into preferred stock issued in such financing at 85% of the per share
price paid by the investors for the preferred stock. On August
26, 2009, the Company completed an equity financing of approximately $2
million, and this note was converted in shares of common
stock. Please see footnote (4) above.
|
|
|
|
|
(7)
|
The
amount indicated does not include shares of common stock issuable upon
conversion of the Secured Convertible Promissory Note. In the
event the Company completes an equity financing transaction of at least
$1,500,000 (excluding any and all notes and other liabilities or
indebtedness which are converted), the then-outstanding principal
amount will automatically convert into the securities issued in such
financing at 90% of the per share price paid by the investors in such
financing. On August 26, 2009, the Company completed an equity
financing of approximately $2 million, and this note was converted in
shares of common stock. Please see footnote (4)
above.
|
|
|
|
Miscellaneous
Information Regarding Participants
Except as described elsewhere in the
proxy statement, there have been no transactions or series of similar
transactions during the past year, nor is there any currently proposed
transaction or series of similar transactions, (i) to which the Company was
or is to be a party, (ii) in which the amount involved exceeds $120,000 and
(iii) in which (A) any Company Representative or any of such person’s
associates, (B) any security holder known to the Company to own of record
or beneficially more than 5% of the Company’s voting securities, or (C) any
member of the immediate family of any person specified in (A) or
(B) had or will have a direct or indirect material interest.
Except as described elsewhere in the
proxy statement, to our knowledge, no Company Representative or any of his
associates has entered into any arrangement or understanding with any person
with respect to any future employment with the Company or its affiliates or any
future transactions to which the Company or any of its affiliates will or may be
a party.
Except as described elsewhere in the
proxy statement, no Company Representative has any substantial interest, direct
or indirect, by security holdings or otherwise, in any matter to be acted upon
at the Annual Meeting (and no other person who is a party to an arrangement or
understanding pursuant to which a nominee for election as director is proposed
to be elected, has any such interest).
During the past ten years, no Company
Representative has been convicted in a criminal proceeding (excluding traffic
violations or similar misdemeanors.
Preliminary
Copy
CNS
RESPONSE, INC.
PROXY
SOLICITED BY THE BOARD OF DIRECTORS
FOR
THE ANNUAL MEETING OF STOCKHOLDERS
TO
BE HELD ON SEPTEMBER 29, 2009
The
undersigned hereby appoints George Carpenter and Paul Buck, and each of them, as
attorneys and proxies of the undersigned, with full power of substitution, to
vote all of the shares of stock of CNS Response, Inc. (the “Company”) which the
undersigned may be entitled to vote at the Annual Meeting of Stockholders of the
Company to be held at the Island Hotel, in Newport Beach, California
on Tuesday, September 29, 2009 at 10:00 a.m., local time, and at
any and all postponements, continuations and adjournments thereof, with all
powers that the undersigned would possess if personally present, upon and in
respect of the following matters and in accordance with the following
instructions, with discretionary authority as to any and all other matters that
may properly come before the meeting.
THIS PROXY, WHEN PROPERLY EXECUTED
WILL BE VOTED, AS DIRECTED HEREIN BY THE UNDERSIGNED STOCKHOLDER(S). IF NO
DIRECTION IS GIVEN, THIS PROXY WILL BE VOTED “FOR” THE ELECTION OF ALL OF THE
NOMINEES FOR DIRECTOR IDENTIFIED HEREIN AND IN THE DISCRETION OF THE PROXY
HOLDER ON ANY OTHER MATTER THAT MAY PROPERLY COME BEFORE THE ANNUAL
MEETING OR ANY ADJOURNMENT OR POSTPONEMENT THEREOF.
Proposal
1. Election of Directors.
THE
BOARD OF DIRECTORS RECOMMENDS A VOTE “FOR” THE NOMINEES LISTED
BELOW.
|
o FOR All of the
Nominees
|
|
o WITHHOLD APPROVAL
for
all of the Nominees.
|
|
o FOR All of the
Nominees,
except
as indicated below.
|
INSTRUCTIONS: To
withhold authority to vote for any nominee, strike a line through the nominee’s
name listed below.
|
George
Carpenter
|
|
Henry
Harbin, M.D.
|
|
David
Jones
|
|
|
|
|
|
|
|
John
Pappajohn
|
|
Tommy
Thompson
|
|
Jerome
Vaccaro, M.D.
|
THE
UNDERSIGNED ACKNOWLEDGES RECEIPT OF THE PROXY STATEMENT AND ANNUAL REPORT. THE
UNDERSIGNED HEREBY REVOKES ALL PROXIES HERETOFORE GIVEN FOR SAID MEETING OR ANY
AND ALL ADJOURNMENTS, POSTPONEMENTS AND CONTINUATIONS THEREOF.
PLEASE VOTE, DATE, SIGN
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