0001437749-22-001423.txt : 20220121 0001437749-22-001423.hdr.sgml : 20220121 20220121171558 ACCESSION NUMBER: 0001437749-22-001423 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220121 DATE AS OF CHANGE: 20220121 EFFECTIVENESS DATE: 20220121 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Contamination Source Identification LLC CENTRAL INDEX KEY: 0001788640 IRS NUMBER: 000000000 STATE OF INCORPORATION: PA FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-358274 FILM NUMBER: 22546771 BUSINESS ADDRESS: STREET 1: 326 DOGWOOD DRIVE CITY: HERSHEY STATE: PA ZIP: 17033 BUSINESS PHONE: 717-574-7083 MAIL ADDRESS: STREET 1: 326 DOGWOOD DRIVE CITY: HERSHEY STATE: PA ZIP: 17033 D/A 1 primary_doc.xml X0708 D/A LIVE 0001788640 Contamination Source Identification LLC 326 Dogwood Drive Hershey PA PENNSYLVANIA 17033 717-574-7083 PENNSYLVANIA None None Limited Liability Company true 2018 Gary J. Shope 326 Dogwood Drive Hershey PA PENNSYLVANIA 17033 Executive Officer Director Promoter Regina Lamendella 326 Dogwood Drive Hershey PA PENNSYLVANIA 17033 Director Justin Wright 326 Dogwood Drive Hershey PA PENNSYLVANIA 17033 Director Timothy Breya 326 Dogwood Drive Hershey PA PENNSYLVANIA 17033 Executive Officer Alexander J. Shope 326 Dogwood Drive Hershey PA PENNSYLVANIA 17033 Executive Officer Shannon K. McCombie 326 Dogwood Drive Hershey PA PENNSYLVANIA 17033 Executive Officer Biotechnology Decline to Disclose 06b true 0001437749-21-000861 2019-04-05 true true true false 0 3000000 2033000 967000 false 18 0 0 0 false Contamination Source Identification LLC /s/ Gary J. Shope Gary J. Shope Chief Executive Officer 2022-01-20