0001112615-13-000004.txt : 20131211 0001112615-13-000004.hdr.sgml : 20131211 20131211121138 ACCESSION NUMBER: 0001112615-13-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20131211 DATE AS OF CHANGE: 20131211 EFFECTIVENESS DATE: 20131211 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SUSQUEHANNA LITHORTRIPSY LLC CENTRAL INDEX KEY: 0001112615 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-207786 FILM NUMBER: 131270240 BUSINESS ADDRESS: STREET 1: 100 W. 3RD AVENUE, SUITE 350 CITY: COLUMBUS STATE: OH ZIP: 43201 BUSINESS PHONE: 6142988150 MAIL ADDRESS: STREET 1: 100 W. 3RD AVENUE, SUITE 350 CITY: COLUMBUS STATE: OH ZIP: 43201 D 1 primary_doc.xml X0707 D LIVE 0001112615 SUSQUEHANNA LITHORTRIPSY LLC 100 W. 3RD AVENUE, SUITE 350 COLUMBUS OH OHIO 43201 6142988150 DELAWARE None None Limited Liability Company true Glenn Bloiso 100 W. 3rd Avenue, Suite 350 Columbus OH OHIO 43201 Executive Officer Director Charles Dalton 100 W. 3rd Avenue, Suite 350 Columbus OH OHIO 43201 Director Scott Niditch 100 W. 3rd Avenue, Suite 350 Columbus OH OHIO 43201 Executive Officer Director Steven Rockoff 100 W. 3rd Avenue, Suite 350 Columbus OH OHIO 43201 Director Charles Zaleski 100 W. 3rd Avenue, Suite 350 Columbus OH OHIO 43201 Director Henry, II Wise 100 W. 3rd Avenue, Suite 350 Columbus OH OHIO 43201 Director Other Health Care Decline to Disclose 06b false true false true true true false 38150 763000 0 763000 false 0 0 0 0 false SUSQUEHANNA LITHORTRIPSY LLC Alan Buergenthal Alan Buergenthal COO of American Kidney Stone Management, Ltd., its Mgmt. Co. 2013-12-10