# Contamination Source Identification Inc. — Form D

Contamination Source Identification Inc. of Hershey, PA, a company, filed a Form D exempt-offering notice with the SEC on 2020-01-16. The offering totals $3.0M, of which $1.2M was reported sold. Industry: Biotechnology.

## Offering

- Filed: 2020-01-16
- Form: D
- Accession: 0001437749-20-000729
- Industry: Biotechnology
- Exemptions: 06b
- Total offering: $3.0M
- Amount sold: $1.2M
- Remaining: $1.8M
- Investors: 8
- Date of first sale: 2019-04-05
- Security types: debt
- Revenue range: Decline to Disclose
- SEC file number: 021-358274

## Issuer

- Name: Contamination Source Identification Inc.
- CIK: 0001788640
- Entity type: Corporation
- Jurisdiction: DELAWARE
- Incorporated: 2018
- Address: 326 Dogwood Drive, Hershey, PA, 17033
- Phone: 717-574-7083

## Officers, directors & promoters (15)

| Name | Role | Location |
| --- | --- | --- |
| Gary J Shope | Director | Hershey, PA |
| Gary J Shope | Executive Officer | Hershey, PA |
| Gary J Shope | Promoter | Hershey, PA |
| Randy J Haluck | Director | Hershey, PA |
| Thomas J Santone | Director | Hershey, PA |
| Gautam J Patel | Director | Hershey, PA |
| Tom J Santone | Director | Hershey, PA |
| Gautem J Patel | Director | Hershey, PA |
| Justin J Wright | Director | Hershey, PA |
| Justin J Wright | Executive Officer | Hershey, PA |
| Regina J Lamendella | Director | Hershey, PA |
| Regina J Lamendella | Executive Officer | Hershey, PA |
| Timothy J Breya | Executive Officer | Hershey, PA |
| Alexander J Shope | Executive Officer | Hershey, PA |
| Shannon K McCombie | Executive Officer | Hershey, PA |

## Other filings by this issuer (7)

| Filed | Form | Offering | Sold |
| --- | --- | --- | --- |
| [2026-04-09](https://search.stillhousedata.com/formd/0001437749-26-011870) | D/A | $2.5M | $2.1M |
| [2025-04-21](https://search.stillhousedata.com/formd/0001437749-25-012428) | D/A | $2.5M | $1.7M |
| [2024-04-29](https://search.stillhousedata.com/formd/0001437749-24-013740) | D/A | $2.5M | $890K |
| [2023-05-02](https://search.stillhousedata.com/formd/0001437749-23-012133) | D | $2.5M | $200K |
| [2022-08-23](https://search.stillhousedata.com/formd/0001437749-22-021156) | D | $1.0M | — |
| [2022-01-21](https://search.stillhousedata.com/formd/0001437749-22-001423) | D/A | $3.0M | $2.0M |
| [2021-01-19](https://search.stillhousedata.com/formd/0001437749-21-000861) | D/A | $3.0M | $2.0M |

## More

- [CIK 1788640 on SEC EDGAR (source of record)](https://www.sec.gov/cgi-bin/browse-edgar?action=getcompany&CIK=1788640&type=&dateb=&owner=include&count=40)
- [This page as markdown (for LLM agents)](https://search.stillhousedata.com/formd/0001437749-20-000729.md)
- [Search all SEC filings, advisers and people on Adviser Search](https://search.stillhousedata.com/)

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