0001697578-17-000001.txt : 20170310
0001697578-17-000001.hdr.sgml : 20170310
20170310165658
ACCESSION NUMBER: 0001697578-17-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20170310
DATE AS OF CHANGE: 20170310
EFFECTIVENESS DATE: 20170310
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: 021-282318
FILM NUMBER: 17682880
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
X0707
D
LIVE
0001697578
Gestalt Diagnostics, LLC
850 E. SPOKANE FALLS BLVD.
SUITE 124
SPOKANE
WA
WASHINGTON
99202
509-755-9427
WASHINGTON
None
None
Limited Liability Company
true
2015
Dan
Roark
850 E. Spokane Falls Blvd.
Suite 124
Spokane
WA
WASHINGTON
99202
Executive Officer
Ken
McCabe
850 E. Spokane Falls Blvd.
Suite 124
Spokane
WA
WASHINGTON
99202
Executive Officer
Director
Jon
Copeland
850 E. Spokane Falls Blvd.
Suite 124
Spokane
WA
WASHINGTON
99202
Director
Marco
Chung
850 E. Spokane Falls Blvd.
Suite 124
Spokane
WA
WASHINGTON
99202
Director
Other Health Care
Decline to Disclose
- 06b
false
2017-02-28
false
true
false
25000
N/A
None
None
None
N/A
N/A
XX
Unknown
00000
AZ
ARIZONA
MT
MONTANA
WA
WASHINGTON
false
2700000
2575000
125000
false
39
0
0
275000
true
false
Gestalt Diagnostics, LLC
Dan Roark
Dan Roark
Chief Executive Officer
2017-03-09