0001209191-19-060048.txt : 20191211 0001209191-19-060048.hdr.sgml : 20191211 20191211164731 ACCESSION NUMBER: 0001209191-19-060048 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20191211 DATE AS OF CHANGE: 20191211 EFFECTIVENESS DATE: 20191211 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: 021-355324 FILM NUMBER: 191280206 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 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 Executive Officer Director Directors are referred to as "Managers" in this entity Adam Perzin, M.D. 100 W. 3rd Avenue, Suite 350 Columbus OH OHIO 43201 Executive Officer 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 Rhett Daugherty, 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 Ric Hughes 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 2019-12-01 false true true false 20900 313500 62700 250800 false 1 0 0 0 false ATLANTIC LITHOTRIPSY, LLC /s/ Ric Hughes Ric Hughes CFO of American Kidney Stone Mgmt., Ltd Management company 2019-12-11