0001101582-16-000005.txt : 20161219 0001101582-16-000005.hdr.sgml : 20161219 20161219140415 ACCESSION NUMBER: 0001101582-16-000005 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161219 DATE AS OF CHANGE: 20161219 EFFECTIVENESS DATE: 20161219 FILER: COMPANY DATA: COMPANY CONFORMED NAME: KIDNEY STONE ASSOCIATES, LLC CENTRAL INDEX KEY: 0001144568 IRS NUMBER: 311749168 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-276558 FILM NUMBER: 162058585 BUSINESS ADDRESS: STREET 1: 100 W. 3RD AVENUE, SUITE 350 CITY: COLUMBUS STATE: OH ZIP: 43201 BUSINESS PHONE: 614-298-8150 MAIL ADDRESS: STREET 1: 100 W. 3RD AVENUE, SUITE 350 CITY: COLUMBUS STATE: OH ZIP: 43201 FORMER COMPANY: FORMER CONFORMED NAME: KIDNEY STONE ASSOCIATES LLC DATE OF NAME CHANGE: 20010711 D 1 primary_doc.xml X0707 D LIVE 0001144568 KIDNEY STONE ASSOCIATES, LLC 100 W. 3RD AVENUE, SUITE 350 COLUMBUS OH OHIO 43201 614-298-8150 DELAWARE KIDNEY STONE ASSOCIATES LLC Limited Liability Company true ROBERT FIORELLI, DO 100 W. 3RD AVENUE, SUITE 350 COLUMBUS OH OHIO 43201 Executive Officer Director DIRECTORS ARE REFERRED TO AS "MANAGERS" IN THIS ENTITY. JERALD GILBERT, MD 100 W. 3RD AVENUE, SUITE 350 COLUMBUS OH OHIO 43201 Director DIRECTORS ARE REFERRED TO AS "MANAGERS" IN THIS ENTITY. IRA GROSSMAN, MD 100 W. 3RD AVENUE, SUITE 350 COLUMBUS OH OHIO 43201 Director DIRECTORS ARE REFERRED TO AS "MANAGERS" IN THIS ENTITY. MICHAEL RITTENBERG, MD 100 W. 3RD AVENUE, SUITE 350 COLUMBUS OH OHIO 43201 Director DIRECTORS ARE REFERRED TO AS "MANAGERS" IN THIS ENTITY. JAMES STEFANELLI, MD 100 W. 3RD AVENUE, SUITE 350 COLUMBUS OH OHIO 43201 Director DIRECTORS ARE REFERRED TO AS "MANAGERS" IN THIS ENTITY. CHARLES BURNS, MD 100 W. 3RD AVENUE, SUITE 350 COLUMBUS OH OHIO 43201 Executive Officer 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 true true true true false 22325 446500 0 446500 true 0 0 0 0 0 false KIDNEY STONE ASSOCIATES, LLC RIC HUGHES RIC HUGHES CFO OF AMERICAN KIDNEY STONE MANAGEMENT, LTD., ITS MGMT CO 2016-12-19