0001209191-20-055555.txt : 20201022 0001209191-20-055555.hdr.sgml : 20201022 20201022152723 ACCESSION NUMBER: 0001209191-20-055555 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20201022 DATE AS OF CHANGE: 20201022 EFFECTIVENESS DATE: 20201022 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: 021-378630 FILM NUMBER: 201254793 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 M. Hurley, M.D. 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Executive Officer Director "Directors" are referred to as "Managers" in this entity. Kenneth Lim, D.O. 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Director "Directors" are referred to as "Managers" in this entity. John Lobo, M.D. 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Director "Directors" are referred to as "Managers" in this entity. Michael Traver, M.D. 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Director "Directors" are referred to as "Managers" in this entity. Gregory Weigler, D.O. 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Director "Directors" are referred to as "Managers" in this entity. Ronald Rubenstein, M.D. 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Director "Directors" are referred to as "Managers" in this entity. Phil Wise, M.D. 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Director "Directors" are referred to as "Managers" in this entity. Thomas Mertz, M.D. 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Director "Directors" are referred to as "Managers" in this entity. Jon Shull 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. Glenn Hetu 1700 West Park Drive Suite 410 Westborough MA MASSACHUSETTS 01581 Director "Directors" are referred to "Managers" in this entity. Other Health Care Decline to Disclose 06b false 2020-10-01 false true true false 18050 216600 108910 107690 true 1 2 0 0 0 false Greater Michigan Lithotripsy, LLC s/s Glenn Hetu Glenn Hetu Secretary of AKSM, Ltd. its Management Co. 2020-10-22