0001901419-22-000001.txt : 20220107 0001901419-22-000001.hdr.sgml : 20220107 20220107100011 ACCESSION NUMBER: 0001901419-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220107 DATE AS OF CHANGE: 20220107 EFFECTIVENESS DATE: 20220107 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Sparta Biomedical Inc. CENTRAL INDEX KEY: 0001901419 IRS NUMBER: 842471988 STATE OF INCORPORATION: WY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-428314 FILM NUMBER: 22516771 BUSINESS ADDRESS: STREET 1: 300 MAIN STREET STREET 2: #202 CITY: MADISON STATE: NJ ZIP: 07940 BUSINESS PHONE: 317-340-3304 MAIL ADDRESS: STREET 1: 300 MAIN STREET STREET 2: #202 CITY: MADISON STATE: NJ ZIP: 07940 D 1 primary_doc.xml X0708 D LIVE 0001901419 Sparta Biomedical Inc. 300 MAIN STREET #202 MADISON NJ NEW JERSEY 07940 317-340-3304 WYOMING None None Corporation true 2019 Dimitrios Angelis 300 Main Street #202 Madison NJ NEW JERSEY 07940 Executive Officer Director Dushyanth Surakanti 300 Main Street #202 Madison NJ NEW JERSEY 07940 Executive Officer Director Ken Gall 300 Main Street #202 Madison NJ NEW JERSEY 07940 Director Sean Fontenot 300 Main Street #202 Madison NJ NEW JERSEY 07940 Director Other Health Care Decline to Disclose 06b false 2021-12-07 false true false 0 5433331 5282391 150940 false 53 0 0 0 None other than payments of salary in the ordinary course of business to certain other parties named in response to Item 3. false Sparta Biomedical Inc. /s/Dushyanth Surakanti Dushyanth Surakanti Chief Executive Officer 2022-01-07