x Form
10-K
|
o Form
20-F
|
o Form
11-K
|
o Form
10-Q
|
o Form
N-SAR
|
o Form
N-CSR
|
Full
name of registrant
|
CNS Response, Inc. |
Former
name if applicable
|
|
Address
of principal executive office (Street and
number)
|
2755 Bristol Street, Suite
285
|
City,
state and zip code
|
Costa Mesa, California,
92626
|
x
|
(a)
|
The
reasons described in reasonable detail in Part III of this form could not
be eliminated without unreasonable effort or expense;
|
(b)
|
The
subject annual report, semi-annual report, transition report on Form 10-K,
Form 20-F, Form 11-K, Form N-SAR or Form N-CSR, or portion thereof, will
be filed on or before the 15th calendar day following the prescribed due
date; or the subject quarterly report or transition report on Form 10-Q,
or subject distribution report on Form 10-D, or portion thereof, will be
filed on of before the fifth calendar day following the prescribed due
date; and
|
|
(c)
|
The
accountant’s statement or other exhibit required by Rule 12b-25(c) has
been attached if applicable.
|
George Carpenter
|
(714)
|
545-3288
|
(Name)
|
(Area
Code)
|
(Telephone
Number)
|
Date: December 29,
2009
|
By:
|
/s/ George Carpenter | |
Name: George Carpenter | |||
Title: Chief Executive Officer | |||