0001073609-16-000003.txt : 20160830 0001073609-16-000003.hdr.sgml : 20160830 20160830114835 ACCESSION NUMBER: 0001073609-16-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160830 DATE AS OF CHANGE: 20160830 EFFECTIVENESS DATE: 20160830 FILER: COMPANY DATA: COMPANY CONFORMED NAME: KENTUCKY I LITHOTRIPSY LLC CENTRAL INDEX KEY: 0001073609 IRS NUMBER: 742908321 STATE OF INCORPORATION: KY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-269770 FILM NUMBER: 161859829 BUSINESS ADDRESS: STREET 1: 9825 SPECTRUM DRIVE STREET 2: BUILDING 3 CITY: AUSTIN STATE: TX ZIP: 78717 BUSINESS PHONE: 8665982734 MAIL ADDRESS: STREET 1: 9825 SPECTRUM DRIVE STREET 2: BUILDING 3 CITY: AUSTIN STATE: TX ZIP: 78717 D 1 primary_doc.xml X0707 D LIVE 0001073609 KENTUCKY I LITHOTRIPSY LLC 9825 SPECTRUM DRIVE BUILDING 3 AUSTIN TX TEXAS 78717 8665982734 KENTUCKY None None Limited Liability Company true Prime Kidney Stone Treatment Inc. 9825 Spectrum Drive Building 3 Austin TX TEXAS 78717 Director Manager Other Health Care Decline to Disclose 06b false 2016-08-25 false true false 86374 172748 172748 0 false 2 0 0 0 false KENTUCKY I LITHOTRIPSY LLC /s/ Debra J. Scott Debra J. Scott Vice President of the Manager 2016-08-30