0001437749-26-011870.txt : 20260409 0001437749-26-011870.hdr.sgml : 20260409 20260409141155 ACCESSION NUMBER: 0001437749-26-011870 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506(b) provides a "safer harbor" for a private offering FILED AS OF DATE: 20260409 DATE AS OF CHANGE: 20260409 EFFECTIVENESS DATE: 20260409 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Contamination Source Identification Inc. CENTRAL INDEX KEY: 0001788640 ORGANIZATION NAME: EIN: 000000000 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-480621 FILM NUMBER: 26851116 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 FORMER COMPANY: FORMER CONFORMED NAME: Contamination Source Identification LLC DATE OF NAME CHANGE: 20190918 D/A 1 primary_doc.xml X0708 D/A LIVE 0001788640 Contamination Source Identification Inc. 326 Dogwood Drive Hershey PA PENNSYLVANIA 17033 717-574-7083 DELAWARE None Contamination Source Identification LLC Corporation true Gary J. Shope 326 Dogwood Drive Hershey PA PENNSYLVANIA 17033 Executive Officer Director Gautam Patel 326 Dogwood Drive Hershey PA PENNSYLVANIA 17033 Director Thomas Santone 326 Dogwood Drive Hershey PA PENNSYLVANIA 17033 Director Randy Haluck 326 Dogwood Drive Hershey PA PENNSYLVANIA 17033 Director Biotechnology Decline to Disclose 06b true 0001437749-25-012428 2023-04-19 true true true false 0 2500000 2095000 405000 false 16 0 0 0 false Contamination Source Identification Inc. /s/ Gary J. Shope Gary J. Shope Chief Executive Officer 2026-04-09