0001101582-14-000003.txt : 20140729 0001101582-14-000003.hdr.sgml : 20140729 20140729132440 ACCESSION NUMBER: 0001101582-14-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140729 DATE AS OF CHANGE: 20140729 EFFECTIVENESS DATE: 20140729 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ATLANTIC LITHOTRIPSY LLC CENTRAL INDEX KEY: 0001101582 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-221919 FILM NUMBER: 14999158 BUSINESS ADDRESS: STREET 1: 100 W. 3RD AVE., SUITE 350 CITY: COLUMBUS STATE: OH ZIP: 43201 BUSINESS PHONE: 614-298-8150 MAIL ADDRESS: STREET 1: 100 W. 3RD AVE., SUITE 350 CITY: COLUMBUS STATE: OH ZIP: 43201 D 1 primary_doc.xml X0707 D LIVE 0001101582 ATLANTIC LITHOTRIPSY LLC 100 W. 3RD AVE., SUITE 350 COLUMBUS OH OHIO 43201 614-298-8150 DELAWARE None None Limited Liability Company true Robert Barsky, D.O. 100 W. 3rd Ave., Suite 350 Columbus OH OHIO 43201 Executive Officer Director Karl Ebert, M.D. 100 W. 3rd Ave., Suite 350 Columbus OH OHIO 43201 Executive Officer Director Russell Freid, M.D. 100 W. 3rd Ave., Suite 350 Columbus OH OHIO 43201 Director Sam Goldberg, M.D. 100 W. 3rd Ave., Suite 350 Columbus OH OHIO 43201 Director William Niedrach, M.D. 100 W. 3rd Ave., Suite 350 Columbus OH OHIO 43201 Director Adam Perzin, M.D. 100 W. 3rd Ave., Suite 350 Columbus OH OHIO 43201 Executive Officer Director Harris Slavick, M.D. 100 W. 3rd Ave., Suite 350 Columbus OH OHIO 43201 Director William Wixted, M.D. 100 W. 3rd Ave., Suite 350 Columbus OH OHIO 43201 Executive Officer Director Michael Schutz, M.D. 100 W. 3rd Ave., Suite 350 Columbus OH OHIO 43201 Director Alan Buergenthal 100 W. 3rd Ave., Suite 350 Columbus OH OHIO 43201 Director Other Health Care Decline to Disclose 06b false true false true true false 21300 639000 0 639000 false 0 0 0 0 false ATLANTIC LITHOTRIPSY LLC Ric Hughes Ric Hughes CFO of American Kidney Stone Management, Ltd., its Mgmt. Co. 2014-07-28