0001209191-22-016582.txt : 20220307 0001209191-22-016582.hdr.sgml : 20220307 20220307140857 ACCESSION NUMBER: 0001209191-22-016582 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220307 DATE AS OF CHANGE: 20220307 EFFECTIVENESS DATE: 20220307 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: 021-436155 FILM NUMBER: 22717434 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 "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 "Managers" in this entity. Kenneth Lim, D.O. 100 W. 3rd Ave Suite 350 Columbus OH OHIO 43201 Director "Directors" are referred to "Managers" in this entity. John Lobo, M.D. 100 W. 3rd Ave Suite 350 Columbus OH OHIO 43201 Director "Directors" are referred to "Managers" in this entity. Michael Traver, M.D. 100 W. 3rd Ave Suite 350 Columbus OH OHIO 43201 Director "Directors" are referred to "Managers" in this entity. Gregory Weigler, D.O. 100 W. 3rd Ave Suite 350 Columbus OH OHIO 43201 Director "Directors" are referred to "Managers" in this entity. Ronald Rubenstein, M.D. 100 W. 3rd Ave Suite 350 Columbus OH OHIO 43201 Director "Directors" are referred to "Managers" in this entity. Phil Wise, M.D. 100 W. 3rd Ave Suite 350 Columbus OH OHIO 43201 Director "Directors" are referred to "Managers" in this entity. Kevin Stone, M.D. 100 W. 3rd Ave Suite 350 Columbus OH OHIO 43201 Director "Directors" are referred to "Managers" in this entity. Jon Shull 100 W 3rd Ave Suite 350 Columbus OH OHIO 43201 Director "Directors" are referred to "Managers" in this entity. Vicki Hollingsworth-Schuler 100 W. 3rd Ave Suite 350 Columbus OH OHIO 43201 Director "Directors" are referred to "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. Bradley Rosenberg, MD 100 W. Third Ave. Suite 350 Columbus OH OHIO 43025 Director Other Health Care Decline to Disclose 06b false 2022-03-01 false true false 18050 72200 36100 36100 false 1 0 0 0 false Greater Michigan Lithotripsy, LLC /s/ Glenn Hetu Glenn Hetu Secretary of AKSM, Ltd. its Management Co. 2022-03-07