0001437749-21-000861.txt : 20210119 0001437749-21-000861.hdr.sgml : 20210119 20210119153427 ACCESSION NUMBER: 0001437749-21-000861 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210119 DATE AS OF CHANGE: 20210119 EFFECTIVENESS DATE: 20210119 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: 21535334 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 Biotechnology Decline to Disclose 06b true 0001437749-20-000729 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 2021-01-19