0001591408-19-000002.txt : 20190117 0001591408-19-000002.hdr.sgml : 20190117 20190117144645 ACCESSION NUMBER: 0001591408-19-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190117 DATE AS OF CHANGE: 20190117 EFFECTIVENESS DATE: 20190117 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Gestalt Diagnostics, LLC CENTRAL INDEX KEY: 0001697578 IRS NUMBER: 300862555 STATE OF INCORPORATION: WA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-330824 FILM NUMBER: 19530790 BUSINESS ADDRESS: STREET 1: 850 E. SPOKANE FALLS BLVD. STREET 2: SUITE 124 CITY: SPOKANE STATE: WA ZIP: 99202 BUSINESS PHONE: 509-363-7773 MAIL ADDRESS: STREET 1: 850 E. SPOKANE FALLS BLVD. STREET 2: SUITE 124 CITY: SPOKANE STATE: WA ZIP: 99202 D 1 primary_doc.xml X0708 D LIVE 0001697578 Gestalt Diagnostics, LLC 850 E. SPOKANE FALLS BLVD. SUITE 135 SPOKANE WA WASHINGTON 99202 509-363-7773 WASHINGTON None None Limited Liability Company true 2015 Dan Roark 850 E. Spokane Falls Blvd. Suite 135 Spokane WA WASHINGTON 99202 Executive Officer Director John Bell 850 E. Spokane Falls Blvd. Suite 135 Spokane WA WASHINGTON 99202 Director Ken McCabe 850 E. Spokane Falls Blvd. Suite 135 Spokane WA WASHINGTON 99202 Director Chris Zylak 850 E. Spokane Falls Blvd. Suite 135 Spokane WA WASHINGTON 99202 Director David Hoak 850 E. Spokane Falls Blvd. Suite 135 Spokane WA WASHINGTON 99202 Director Wayne Wager 850 E. Spokane Falls Blvd. Suite 135 Spokane WA WASHINGTON 99202 Director Other Health Care Decline to Disclose 06b false 2019-01-02 false true true true false 25000 2000000 300000 1700000 false 2 0 0 0 false Gestalt Diagnostics, LLC /s/ Dan Roark Dan Roark Chief Executive Officer 2019-01-17