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Form C: Filer Information

Filer CIK:
0001729427 
Filer CCC:
XXXXXXXX 
File Number:
020-24084 
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Submission Contact Information

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Phone Number:
 
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Form C: Issuer Information

Issuer Information

Name of Issuer:

CNS Pharmaceuticals, Inc. 

Describe Progress Update:

The Company successfully received investment commitments totaling $630,572 on June 11, 2018, although a final amount received into escrow has not be finalized. 

Legal Status of Issuer:

Form:

Corporation 

Jurisdiction of Incorporation/Organization:

NEVADA  

Date of Incorporation/Organization:

07-27-2017 

Physical Address of Issuer:

Address 1:

2100 WEST LOOP SOUTH 

Address 2:

SUITE 900 

City:

HOUSTON 

State/Country:

TEXAS  

Mailing Zip/Postal Code:

77027 

Website of Issuer:

cnspharma.com 

Intermediary through which the Offering will be Conducted:

CIK:

0001672732 

Company Name:

OpenDeal Inc. 

Commission File Number:

007-00046 

CRD Number:

283874 

Form C: Offering Information

Offering Information

Amount of compensation to be paid to the intermediary, whether as a dollar amount or a percentage of the offering amount, or a good faith estimate if the exact amount is not available at the time of the filing, for conducting the offering, including the amount of referral and any other fees associated with the offering:

5.0% of the amount raised and 2% of the Securities being issued in this Offering 

Any other financial interest in the issuer held by the intermediary, or any arrangement for the intermediary to acquire such an interest:

If offering is successful, intermediary will receive a commission equivalent to 2% of the Securities being issued in this Offering 

Type of Security Offered:

Other 

Specify:

Units of SAFE (Simple Agreement for Future Equity) 

Target Number of Securities to be Offered:

100000 

Price:

1.00000 

Target Offering Amount:

100000.00 

Maximum Offering Amount (if different from Target Offering Amount):

1070000.00 

Oversubscriptions Accepted: Radio button checked Yes Radio button not checked No
If yes, disclose how oversubscriptions will be allocated:

First-come, first-served basis 

Deadline to reach the Target Offering Amount:

06-11-2018 

NOTE: If the sum of the investment commitments does not equal or exceed the target offering amount at the offering deadline, no securities will be sold in the offering, investment commitments will be cancelled and committed funds will be returned.

Form C: Annual Report Disclosure Requirements

Annual Report Disclosure Requirements

Current Number of Employees:

4 

Total Assets Most Recent Fiscal Year-end:

162194.00 

Total Assets Prior Fiscal Year-end:

0.00 

Cash and Cash Equivalents Most Recent Fiscal Year-end:

110543.00 

Cash and Cash Equivalents Prior Fiscal Year-end:

0.00 

Accounts Receivable Most Recent Fiscal Year-end:

0.00 

Accounts Receivable Prior Fiscal Year-end:

0.00 

Short-term Debt Most Recent Fiscal Year-end:

121825.00 

Short-term Debt Prior Fiscal Year-end:

0.00 

Long-term Debt Most Recent Fiscal Year-end:

0.00 

Long-term Debt Prior Fiscal Year-end:

0.00 

Revenue/Sales Most Recent Fiscal Year-end:

0.00 

Revenue/Sales Prior Fiscal Year-end:

0.00 

Cost of Goods Sold Most Recent Fiscal Year-end:

0.00 

Cost of Goods Sold Prior Fiscal Year-end:

0.00 

Taxes Paid Most Recent Fiscal Year-end:

0.00 

Taxes Paid Prior Fiscal Year-end:

0.00 

Net Income Most Recent Fiscal Year-end:

-219362.00 

Net Income Prior Fiscal Year-end:

0.00 

Using the list below, select the jurisdictions in which the issuer intends to offer the securities:

SOUTH DAKOTA  

Form C: Signature

Signature

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), the issuer certifies that it has reasonable grounds to believe that it meets all of the requirements for filing on Form C and has duly caused this Form to be signed on its behalf by the duly authorized undersigned.

Issuer:

CNS Pharmaceuticals, Inc. 

Signature:

John Climaco 

Title:

Chief Executive Officer 

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.

Signature:

Jerzy (George) Gumulka 

Title:

Director 

Date:

06-13-2018 

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.

Signature:

Donald H. Picker 

Title:

Director 

Date:

06-13-2018 

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.

Signature:

Matthew Lourie 

Title:

Chief Financial Officer 

Date:

06-13-2018 

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.

Signature:

John Climaco 

Title:

Chief Executive Officer 

Date:

06-13-2018