0001331342-17-000002.txt : 20170110 0001331342-17-000002.hdr.sgml : 20170110 20170110172834 ACCESSION NUMBER: 0001331342-17-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 504(b)(1) (not (i), (ii) or (iii)) ITEM INFORMATION: 06b FILED AS OF DATE: 20170110 DATE AS OF CHANGE: 20170110 EFFECTIVENESS DATE: 20170110 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Piedmont Stone Center PLLC CENTRAL INDEX KEY: 0001331342 IRS NUMBER: 000000000 STATE OF INCORPORATION: NC FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-278093 FILM NUMBER: 17521475 BUSINESS ADDRESS: STREET 1: 3825 FORRESTGATE DRIVE CITY: WINSTON SALEM STATE: NC ZIP: 27103 BUSINESS PHONE: 336-714-2600 MAIL ADDRESS: STREET 1: 3825 FORRESTGATE DRIVE CITY: WINSTON SALEM STATE: NC ZIP: 27103 D 1 primary_doc.xml X0707 D LIVE 0001331342 Piedmont Stone Center PLLC 3825 FORRESTGATE DRIVE WINSTON SALEM NC NORTH CAROLINA 27103 336-714-2600 NORTH CAROLINA None None Limited Liability Company true Charles H. Hauser 3825 Forrestgate Dr. Winston Salem NC NORTH CAROLINA 27103 Executive Officer Promoter Chief Executive Officer Judy Lee Chun 3825 Forrestgate Dr. Winston Salem NC NORTH CAROLINA 27103 Director Stephen Michael Dahlstedt 3825 Forrestgate Dr. Winston Salem NC NORTH CAROLINA 27103 Director Robert Alvin Bertram 3825 Forrestgate Dr. Winston Salem NC NORTH CAROLINA 27103 Director Lawrence Andrew Eskew 3825 Forrestgate Dr. Winston Salem NC NORTH CAROLINA 27103 Director Ernest Frederick McPhail 3825 Forrestgate Dr. Winston Salem NC NORTH CAROLINA 27103 Director George Burgwyn Newsome 3825 Forrestgate Dr. Winston Salem NC NORTH CAROLINA 27103 Director Phillip G. Marks 3825 Forrestgate Dr. Winston Salem NC NORTH CAROLINA 27103 Director Bradley Jon Stoneking 3825 Forrestgate Dr. Winston Salem NC NORTH CAROLINA 27103 Director Christopher James Stands 3825 Forrestgate Dr. Winston Salem NC NORTH CAROLINA 27103 Director Other Health Care Decline to Disclose 04 06b false 2017-01-01 false true false 143400 573600 573600 0 The initial capital contribution was $28,680, with the balance payable in mandatory annual capital contributions through January 1, 2021. false 4 0 0 N/A 0 N/A false Piedmont Stone Center PLLC /s/ Charles H. Hauser Charles H. Hauser Chief Executive Officer 2017-01-10