0001209191-19-007513.txt : 20190206 0001209191-19-007513.hdr.sgml : 20190206 20190205184510 ACCESSION NUMBER: 0001209191-19-007513 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190206 DATE AS OF CHANGE: 20190205 EFFECTIVENESS DATE: 20190206 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Greater Michigan Lithotripsy, LLC CENTRAL INDEX KEY: 0001360647 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-332231 FILM NUMBER: 19569353 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: Greater Michigan Lithotripsy LLC DATE OF NAME CHANGE: 20060426 D 1 primary_doc.xml X0708 D LIVE 0001360647 Greater Michigan Lithotripsy, LLC 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 614-298-8150 DELAWARE None Greater Michigan Lithotripsy LLC Limited Liability Company true Gregor Blix, MD 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Executive Officer Director "Directors" are referred to as "Managers" in this entity. Patrick Hurley, MD 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Executive Officer Director "Directors" are referred to as "Managers" in this entity. Thomas Mertz, MD 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Director "Directors" are referred to as "Managers" in this entity. Joseph Salisz, MD 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Director "Directors" are referred to as "Managers" in this entity. Dave Thompson, ND 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Director "Directors" are referred to as "Managers" in this entity. Kenneth Lim, DO 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Director "Directors" are referred to as "Managers" in this entity. Michael Traver, MD 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Director "Directors" are referred to as "Managers" in this entity. Gregory Weigler, MD 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Director "Directors" are referred to as "Managers" in this entity. Vicki Hollingsworth-Schuler 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Director "Directors" are referred to as "Managers" in this entity. Marc Chircop 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Director "Directors" are referred to as "Managers" in this entity. Ric Hughes 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 2019-01-23 true true true false 23275 465500 24454 441046 true 0 1 0 0 0 false Greater Michigan Lithotripsy, LLC /s/ Ric Hughes Ric Hughes Secretary of American Kidney Stone Managment, Ltd., its Mgmt 2019-02-05