0001101582-16-000004.txt : 20161219 0001101582-16-000004.hdr.sgml : 20161219 20161219140148 ACCESSION NUMBER: 0001101582-16-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161219 DATE AS OF CHANGE: 20161219 EFFECTIVENESS DATE: 20161219 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: 021-276556 FILM NUMBER: 162058571 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 FORMER COMPANY: FORMER CONFORMED NAME: ATLANTIC LITHOTRIPSY LLC DATE OF NAME CHANGE: 19991222 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 ATLANTIC LITHOTRIPSY LLC Limited Liability Company true ROBERT BARSKY, MD 100 W. 3RD AVE., SUITE 350 COLUMBUS OH OHIO 43201 Executive Officer Director DIRECTORS ARE REFERRED TO AS "MANAGERS" IN THIS ENTITY. KARL EBERT, MD 100 W. 3RD AVE, SUITE 350 COLUMBUS OH OHIO 43201 Director DIRECTORS ARE REFERRED TO AS "MANAGERS" IN THIS ENTITY. RUSSELL FRIED, MD 100 W. 3RD AVE, SUITE 350 COLUMBUS OH OHIO 43201 Director DIRECTORS ARE REFERRED TO AS "MANAGERS" IN THIS ENTITY. SAMUEL GOLDENBERG, MD 100 W. 3RD AVE, SUITE 350 COLUMBUS OH OHIO 43201 Director DIRECTORS ARE REFERRED TO AS "MANAGERS" IN THIS ENTITY. WILLIAM NIEDRACH, MD 100 W. 3RD AVE, SUITE 350 COLUMBUS OH OHIO 43201 Director DIRECTORS ARE REFERRED TO AS "MANAGERS" IN THIS ENTITY. ADAM PERZIN, MD 100 W. 3RD AVE, SUITE 350 COLUMBUS OH OHIO 43201 Director DIRECTORS ARE REFERRED TO AS "MANAGERS" IN THIS ENTITY. MICHAEL SCHUTZ, MD 100 W. 3RD AVE, SUITE 350 COLUMBUS OH OHIO 43201 Director DIRECTORS ARE REFERRED TO AS "MANAGERS" IN THIS ENTITY. HARRY SLAVICK, MD 100 W. 3RD AVE, SUITE 350 COLUMBUS OH OHIO 43201 Director DIRECTORS ARE REFERRED TO AS "MANAGERS" IN THIS ENTITY. WILLIAM WIXTED, MD 100 W. 3RD AVE, SUITE 350 COLUMBUS OH OHIO 43201 Director DIRECTORS ARE REFERRED TO AS "MANAGERS" IN THIS ENTITY. Other Health Care Decline to Disclose 06b false true true true true false 20900 627000 0 627000 true 0 0 0 0 0 false ATLANTIC LITHOTRIPSY, LLC RIC HUGHES RIC HUGHES CFO OF AMERICAN KIDNEY STONE MANAGEMENT, LTD., ITS MGMT CO 2016-12-19