0001101582-23-000001.txt : 20230601 0001101582-23-000001.hdr.sgml : 20230601 20230601104406 ACCESSION NUMBER: 0001101582-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230601 DATE AS OF CHANGE: 20230601 EFFECTIVENESS DATE: 20230601 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: 021-483083 FILM NUMBER: 23983421 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 X0708 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, D.O. 100 W. 3rd Ave. Suite 350 Columbus OH OHIO 43201 Executive Officer Director Directors are referred to as "Managers" in this entity. Randy Ackerman, M.D. 100 W. 3rd Ave. Suite 350 Columbus OH OHIO 43201 Director Directors are referred to as "Managers" in this entity. Adam Perzin, M.D. 100 W. 3rd Ave. Suite 350 Columbus OH OHIO 43201 Executive Officer Director Directors are referred to as "Managers" in this entity. Sanjay Kasturi, M.D. 100 W. 3rd Ave. Suite 350 Columbus OH OHIO 43201 Director Directors are referred to as "Managers" in this entity. Scott Asroff, M.D. 100 W. 3rd Ave. Suite 350 Columbus OH OHIO 43201 Director Directors are referred to as "Managers" in this entity. Michael Schutz, M.D. 100 W. 3rd Ave. Suite 350 Columbus OH OHIO 43201 Director Directors are referred to as "Managers" in this entity. Glenn Hetu 1700 West Park Drive Suite 410 Westborough MA MASSACHUSETTS 01581 Director Directors are referred to as "Managers" in this entity. Other Health Care Decline to Disclose 06b false 2023-06-01 false true true false 16900 50700 50700 0 false 1 0 0 0 false ATLANTIC LITHOTRIPSY, LLC /s/ Glenn Hetu Glenn Hetu Secretary of AKSM, Ltd. its Management Co. 2023-05-30