0001209191-18-045974.txt : 20180809
0001209191-18-045974.hdr.sgml : 20180809
20180809130430
ACCESSION NUMBER: 0001209191-18-045974
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20180809
DATE AS OF CHANGE: 20180809
EFFECTIVENESS DATE: 20180809
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: 021-318846
FILM NUMBER: 181004305
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 Avenue, Suite 350
Columbus
OH
OHIO
43201
614-298-8150 ext 13
DELAWARE
None
ATLANTIC LITHOTRIPSY LLC
Limited Liability Company
true
Robert
Barsky, DO
100 W. 3rd Avenue, Suite 350
Columbus
OH
OHIO
43201
Executive Officer
Director
Directors are referred to as "Managers" in this entity
Samuel
Goldenberg, M.D.
100 W. 3rd Avenue, Suite 350
Columbus
OH
OHIO
43201
Director
Directors are referred to as "Managers" in this entity
Adam
Perzin, M.D.
100 W. 3rd Avenue, Suite 350
Columbus
OH
OHIO
43201
Director
Directors are referred to as "Managers" in this entity
Harry
Slavick, M.D.
100 W. 3rd Avenue, Suite 350
Columbus
OH
OHIO
43201
Director
Directors are referred to as "Managers" in this entity
Mark
Fallick, M.D.
100 W. 3rd Avenue, Suite 350
Columbus
OH
OHIO
43201
Director
Directors are referred to as "Managers" in this entity
William
Niedrach, M.D.
100 W. 3rd Avenue, Suite 350
Columbus
OH
OHIO
43201
Director
Directors are referred to as "Managers" in this entity
Michael
Schultz, M.D.
100 W. 3rd Avenue, Suite 350
Columbus
OH
OHIO
43201
Director
Directors are referred to as "Managers" in this entity
Alan
Buergenthal
100 W. 3rd Avenue, Suite 350
Columbus
OH
OHIO
43201
Director
Directors are referred to as "Managers" in this entity
Other Health Care
Decline to Disclose
- 06b
false
2018-08-06
false
true
true
false
21650
627000
152506
474494
false
1
0
0
0
false
ATLANTIC LITHOTRIPSY, LLC
/s/ Ric Hughes
Ric Hughes
CFO of American Kidney Stone Mgmt., Ltd Management company
2018-08-08