0001292781-15-000004.txt : 20150612 0001292781-15-000004.hdr.sgml : 20150612 20150612153400 ACCESSION NUMBER: 0001292781-15-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150612 DATE AS OF CHANGE: 20150612 EFFECTIVENESS DATE: 20150612 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Urolith, LLC CENTRAL INDEX KEY: 0001292781 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-241677 FILM NUMBER: 15928368 BUSINESS ADDRESS: STREET 1: 100 W 3RD AVE STREET 2: SUITE 350 CITY: COLUMBUS STATE: OH ZIP: 43201 BUSINESS PHONE: 614-298-8150 MAIL ADDRESS: STREET 1: 100 W 3RD AVE STREET 2: SUITE 350 CITY: COLUMBUS STATE: OH ZIP: 43201 FORMER COMPANY: FORMER CONFORMED NAME: Urolith llc DATE OF NAME CHANGE: 20040604 D 1 primary_doc.xml X0707 D LIVE 0001292781 Urolith, LLC 100 W 3RD AVE SUITE 350 COLUMBUS OH OHIO 43201 614-298-8150 DELAWARE Urolith llc Limited Liability Company true Mark Dersch, MD 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Director Throughout this Form D, note that "Directors" are referred to as "Managers" in this entity. Michael Desautel, MD 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Director Paresh Desai, MD 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Director Edward King, MD 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Executive Officer Director Andrew Sher, MD 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Director Manuel Seneriz, MD 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Director Alan Buergenthal 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Director Representative of American Kidney Stone Management, Ltd. on the Board. Other Health Care Decline to Disclose 06b false true false true false 22000 880000 0 880000 true 0 0 0 0 0 false Urolith, LLC Alan Buergenthal Alan Buergenthal Director 2015-06-12