0001299188-14-000005.txt : 20140729 0001299188-14-000005.hdr.sgml : 20140729 20140729153153 ACCESSION NUMBER: 0001299188-14-000005 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140729 DATE AS OF CHANGE: 20140729 EFFECTIVENESS DATE: 20140729 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Harrisburg Lithotripsy LLC CENTRAL INDEX KEY: 0001299188 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-221942 FILM NUMBER: 14999637 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 1 primary_doc.xml X0707 D LIVE 0001299188 Harrisburg Lithotripsy LLC 100 W. 3RD AVE., SUITE 350 COLUMBUS OH OHIO 43201 614-298-8150 DELAWARE None None Limited Liability Company true Scott Owens, M.D. 100 W. 3rd Ave., Suite 350 Columbus OH OHIO 43201 Executive Officer Director Bruce Gronkiewicz, M.D. 100 W. 3rd Ave., Suite 350 Columbus OH OHIO 43201 Executive Officer Director Emerson Knight, M.D. 100 W. 3rd Ave., Suite 350 Columbus OH OHIO 43201 Director Christopher Moyer, M.D. 100 W. 3rd Ave., Suite 350 Columbus OH OHIO 43201 Director Jose Prudencio, M.D. 100 W. 3rd Ave., Suite 350 Columbus OH OHIO 43201 Director Peter Tucker, M.D. 100 W. 3rd Ave., Suite 350 Columbus OH OHIO 43201 Director Alan Buergenthal 100 W. 3rd Ave., Suite 350 Columbus OH OHIO 43201 Director Other Health Care Decline to Disclose 06b false true false true true false 38000 760000 0 760000 false 0 0 0 0 false Harrisburg Lithotripsy LLC Ric Hughes Ric Hughes CFO of American Kidney Stone Management, Ltd., its Mgmt. Co. 2014-07-28