0001697578-25-000006.txt : 20250707 0001697578-25-000006.hdr.sgml : 20250707 20250707132111 ACCESSION NUMBER: 0001697578-25-000006 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20250707 DATE AS OF CHANGE: 20250707 EFFECTIVENESS DATE: 20250707 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Gestalt Diagnostics, Inc. CENTRAL INDEX KEY: 0001697578 ORGANIZATION NAME: EIN: 300862555 STATE OF INCORPORATION: WA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-550855 FILM NUMBER: 251107814 BUSINESS ADDRESS: STREET 1: 801 S STEVENS ST. CITY: SPOKANE STATE: WA ZIP: 99204 BUSINESS PHONE: (509) 492-4912 MAIL ADDRESS: STREET 1: 801 S STEVENS ST. CITY: SPOKANE STATE: WA ZIP: 99204 FORMER COMPANY: FORMER CONFORMED NAME: Gestalt Diagnostics, LLC DATE OF NAME CHANGE: 20170208 D 1 primary_doc.xml X0708 D LIVE 0001697578 Gestalt Diagnostics, Inc. 801 S STEVENS ST. SPOKANE WA WASHINGTON 99204 (509) 492-4912 WASHINGTON Gestalt Diagnostics, LLC Corporation true Dan Roark 801 S Stevens St. Spokane WA WASHINGTON 99204 Executive Officer Director Promoter Octavio Morales 801 S Stevens St. Spokane WA WASHINGTON 99204 Director Chris Patrick 801 S Stevens St. Spokane WA WASHINGTON 99204 Director Bill Driscoll 801 S Stevens St. Spokane WA WASHINGTON 99204 Director Steve Rector 801 S Stevens St. spokane WA WASHINGTON 99204 Executive Officer Other Health Care Decline to Disclose 06b false 2025-03-14 false true false 0 9253803 6704578 2549225 includes (i) principal and interest on convertible notes in the amount of $4,253,803, and (ii) $5,000,000 new money false 29 0 0 0 false Gestalt Diagnostics, Inc. /s/ Dan Roark Dan Roark President and CEO 2025-06-27