0001019404-19-000002.txt : 20190904 0001019404-19-000002.hdr.sgml : 20190904 20190904142104 ACCESSION NUMBER: 0001019404-19-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190904 DATE AS OF CHANGE: 20190904 EFFECTIVENESS DATE: 20190904 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AMERICAN KIDNEY STONE MANAGEMENT LTD CENTRAL INDEX KEY: 0001019404 IRS NUMBER: 311430603 STATE OF INCORPORATION: OH FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-347978 FILM NUMBER: 191074079 BUSINESS ADDRESS: STREET 1: 100 W. 3RD AVENUE, SUITE 350 CITY: COLUMBUS STATE: OH ZIP: 43201 BUSINESS PHONE: 614-298-8150 MAIL ADDRESS: STREET 1: 100 W. 3RD AVENUE, SUITE 350 CITY: COLUMBUS STATE: OH ZIP: 43201 D 1 primary_doc.xml X0708 D LIVE 0001019404 AMERICAN KIDNEY STONE MANAGEMENT LTD 100 W. 3RD AVENUE, SUITE 350 COLUMBUS OH OHIO 43201 614-298-8150 OHIO None None Limited Liability Company true Rocco Morabito, M.D. 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Director "Directors" are referred to as "Managers" in this entity. David Blechman 2001 Palmer Ave Suite 205 Larchmont NY NEW YORK 10538 Director "Directors" are referred to as "Managers" in this entity. Scott Sasserson 1700 West Park Drive Westborough MA MASSACHUSETTS 01581 Executive Officer Director "Directors" are referred to as "Managers" in this entity. Other Health Care Decline to Disclose 06b false true false true true false 11000 550000 0 550000 true 0 0 0 0 0 false AMERICAN KIDNEY STONE MANAGEMENT LTD Ric Hughes Ric Hughes Secretary 2019-09-04