0001073609-22-000001.txt : 20220907 0001073609-22-000001.hdr.sgml : 20220907 20220907121235 ACCESSION NUMBER: 0001073609-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220907 DATE AS OF CHANGE: 20220907 EFFECTIVENESS DATE: 20220907 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: 021-458193 FILM NUMBER: 221230462 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 X0708 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 Bldg. 3 Austin TX TEXAS 78717 Director Manager Other Health Care Decline to Disclose 06b false 2022-09-02 false true false 60007 60007 60007 0 false 1 0 0 0 false KENTUCKY I LITHOTRIPSY LLC /s/ Scott Steele Scott Steele Vice President of Manager of Issuer 2022-09-07