1. Name and Address of Reporting Person * |
SCHINDLER WALTER |
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2. Date of Event Requiring Statement (Month/Day/Year) 11/28/2012 |
3. Issuer Name and Ticker or Trading Symbol CNS RESPONSE, INC. [CNSO]
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C/O CNS RESPONSE, INC., 85 ENTERPRISE, SUITE 410 |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
__X__ Director |
__X__ 10% Owner |
_____ Officer (give title below) |
_____ Other (specify below) |
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5. If Amendment, Date Original Filed(Month/Day/Year)
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ALISO VIEJO, CA 92656 |
6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned |
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1.Title of Security (Instr. 4) |
2. Amount of Securities Beneficially Owned (Instr. 4) |
3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) |
4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock, par value $0.001 per share
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1,175,752
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I
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SAIL Venture Partners LP
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Common Stock, par value $0.001 per share
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1,085,471
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I
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SAIL Venture Partners II LP
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Common Stock, par value $0.001 per share
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943,956
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I
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SAIL 2010 Co-Investment Partners LP
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Common Stock, par value $0.001 per share
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434,189
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I
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SAIL 2011 Co-Investment Partners LP
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Common Stock, par value $0.001 per share
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2,208,034
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I
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SAIL Holdings LLC
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