0001360647-17-000001.txt : 20170303 0001360647-17-000001.hdr.sgml : 20170303 20170303155543 ACCESSION NUMBER: 0001360647-17-000001 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170303 DATE AS OF CHANGE: 20170303 EFFECTIVENESS DATE: 20170303 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-241666 FILM NUMBER: 17663403 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/A 1 primary_doc.xml X0707 D/A LIVE 0001360647 Greater Michigan Lithotripsy, LLC 100 W 3RD AVE SUITE 350 COLUMBUS OH OHIO 43201 614-298-8150 DELAWARE Greater Michigan Lithotripsy LLC Limited Liability Company true Jim Bour, 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, MD 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 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 Other Health Care Decline to Disclose 06b true 0001360647-16-000005 2015-10-01 true true true false 23275 931000 465500 465500 true 0 6 0 0 0 false Greater Michigan Lithotripsy, LLC Ric Hughes Ric Hughes CFO of American Kidney Stone Management, Ltd., its Mgmt. Co. 2017-03-03