0001299188-16-000002.txt : 20160114 0001299188-16-000002.hdr.sgml : 20160114 20160113173631 ACCESSION NUMBER: 0001299188-16-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160114 DATE AS OF CHANGE: 20160113 EFFECTIVENESS DATE: 20160114 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: 021-255125 FILM NUMBER: 161341507 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, MD 100 W. 3RD AVE, SUITE 350 COLUMBUS OH OHIO 43201 Executive Officer Director DIRECTORS ARE REFERRED TO AS "MANAGERS" IN THIS ENTITY. ANDREW DUSSINGER, MD 100 W. 3RD AVE, SUITE 350 COLUMBUS OH OHIO 43201 Executive Officer Director DIRECTORS ARE REFERRED TO AS "MANAGERS" IN THIS ENTITY. CHRISTOPHER MOYER, MD 100 W. 3RD AVE, SUITE 350 COLUMBUS OH OHIO 43201 Director DIRECTORS ARE REFERRED TO AS "MANAGERS" IN THIS ENTITY. JOSE PRUDENCIO, MD 100 W. 3RD AVE, SUITE 350 COLUMBUS OH OHIO 43201 Director DIRECTORS ARE REFERRED TO AS "MANAGERS" IN THIS ENTITY. PETER TUCKER, MD 100 W. 3RD AVE, SUITE 350 COLUMBUS OH OHIO 43201 Director DIRECTORS ARE REFERRED TO AS "MANAGERS" IN THIS ENTITY. ALAN BUERGENTHAL 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 false true false true true false 38000 152000 0 152000 true 0 0 0 0 0 false Harrisburg Lithotripsy LLC RIC HUGHES RIC HUGHES CFO OF AMERICAN KIDNEY STONE MANAGEMENT, LTD., ITS MGMT. CO. 2016-01-13