0001119141-17-000001.txt : 20170207
0001119141-17-000001.hdr.sgml : 20170207
20170207163948
ACCESSION NUMBER: 0001119141-17-000001
CONFORMED SUBMISSION TYPE: D/A
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20170207
DATE AS OF CHANGE: 20170207
EFFECTIVENESS DATE: 20170207
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: SOUTHWEST LITHOTRIPSY LLC
CENTRAL INDEX KEY: 0001119141
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FILING VALUES:
FORM TYPE: D/A
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-258088
FILM NUMBER: 17579537
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
D/A
1
primary_doc.xml
X0707
D/A
LIVE
0001119141
SOUTHWEST LITHOTRIPSY LLC
100 W. 3RD AVE, SUITE 350
COLUMBUS
OH
OHIO
43201
614-298-8150
DELAWARE
None
None
Limited Liability Company
true
PATTY
WHITE
100 W. 3RD AVE, SUITE 350
COLUMBUS
OH
OHIO
43201
Executive Officer
Director
DIRECTORS ARE REFERRED TO AS "MANAGERS" IN THIS ENTITY
MARK
WALMER, MD
100 W. 3RD AVE, SUITE 350
COLUMBUS
OH
OHIO
43201
Director
DIRECTORS ARE REFERRED TO AS "MANAGERS" IN THIS ENTITY
WILLIAM
BOHNERT, MD
100 W. 3RD AVE, SUITE 350
COLUMBUS
OH
OHIO
43201
Director
DIRECTORS ARE REFERRED TO AS "MANAGERS" IN THIS ENTITY
DAVID
GROSSKLAUS, MD
100 W. 3RD AVE, SUITE 350
COLUMBUS
OH
OHIO
43201
Director
DIRECTORS ARE REFERRED TO AS "MANAGERS" IN THIS ENTITY
JOSEPH
WORISCHECK, MD
100 W. 3RD AVE, SUITE 350
COLUMBUS
OH
OHIO
43201
Director
DIRECTORS ARE REFERRED TO AS "MANAGERS" IN THIS ENTITY
SUNDARAJAN
JAYACHANDRAN, MD
100 W. 3RD AVE, SUITE 350
COLUMBUS
OH
OHIO
43201
Director
DIRECTORS ARE REFERRED TO AS "MANAGERS" IN THIS ENTITY. TERM OF OFFICE ENDS 3/31/2017.
IAN
GOLDMAN, MD
100 W. 3RD AVE, SUITE 350
COLUMBUS
OH
OHIO
43201
Director
DIRECTORS ARE REFERRED TO AS "MANAGERS" IN THIS ENTITY. TERM OF OFFICE BEGINS 4/1/2017.
JACK
BENSON, MD
100 W. 3RD AVE, SUITE 350
COLUMBUS
OH
OHIO
43201
Director
DIRECTORS ARE REFERRED TO AS "MANAGERS" IN THIS ENTITY
STEPHEN
PONAS, MD
100 W. 3RD AVE, SUITE 350
COLUMBUS
OH
OHIO
43201
Director
DIRECTORS ARE REFERRED TO AS "MANAGERS" IN THIS ENTITY
TAMI
HUTCHISON
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
true
0001119141-16-000004
2016-04-01
true
true
true
false
13350
1335000
0
1335000
true
0
1
0
0
0
false
SOUTHWEST LITHOTRIPSY LLC
RIC HUGHES
RIC HUGHES
CFO OF AMERICAN KIDNEY STONE MANAGEMENT, LTD., ITS MGMT. CO.
2017-02-07