0001437749-22-021156.txt : 20220823 0001437749-22-021156.hdr.sgml : 20220823 20220823100306 ACCESSION NUMBER: 0001437749-22-021156 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220823 DATE AS OF CHANGE: 20220823 EFFECTIVENESS DATE: 20220823 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 SEC ACT: 1933 Act SEC FILE NUMBER: 021-456663 FILM NUMBER: 221185282 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 1 primary_doc.xml X0708 D 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 Biotechnology Decline to Disclose 06b false true false true true false 0 1000000 0 1000000 false 0 0 0 0 false Contamination Source Identification LLC /s/ Gary J. Shope Gary J. Shope Chief Executive Officer 2022-08-22