0001380247-16-000002.txt : 20161206 0001380247-16-000002.hdr.sgml : 20161206 20161206094243 ACCESSION NUMBER: 0001380247-16-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161206 DATE AS OF CHANGE: 20161206 EFFECTIVENESS DATE: 20161206 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Lakeside Endoscopy Center, LLC CENTRAL INDEX KEY: 0001380247 IRS NUMBER: 205544496 STATE OF INCORPORATION: NE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-275691 FILM NUMBER: 162035357 BUSINESS ADDRESS: STREET 1: 17001 LAKESIDE HILLS PLAZA STREET 2: SUITE 201 CITY: OMAHA STATE: NE ZIP: 68130 BUSINESS PHONE: 402-614-2300 MAIL ADDRESS: STREET 1: 17001 LAKESIDE HILLS PLAZA STREET 2: SUITE 201 CITY: OMAHA STATE: NE ZIP: 68130 FORMER COMPANY: FORMER CONFORMED NAME: Lakeside Endoscopy Center LLC DATE OF NAME CHANGE: 20061106 D 1 primary_doc.xml X0707 D LIVE 0001380247 Lakeside Endoscopy Center, LLC 17001 LAKESIDE HILLS PLAZA SUITE 201 OMAHA NE NEBRASKA 68130 402-614-2300 NEBRASKA Lakeside Endoscopy Center LLC Limited Liability Company true Edwin C Schafer 17001 Lakeside Hills Plaza Suite 201 Omaha NE NEBRASKA 68130 Executive Officer Director Manager and President Cindy Alloway 17001 Lakeside Hills Plaza Suite 201 Omaha NE NEBRASKA 68130 Executive Officer Director Manager and Vice President Douglas E Brouillette 17001 Lakeside Hills Plaza Suite 201 Omaha NE NEBRASKA 68130 Executive Officer Director Manager and Secretary Tyler Dejong 17001 Lakeside Hills Plaza Suite 201 Omaha NE NEBRASKA 68130 Executive Officer Director Manager and Treasurer Other Health Care $5,000,001 - $25,000,000 06b false 2016-12-01 false true false 0 190459 190459 0 false 1 0 0 0 false Lakeside Endoscopy Center, LLC Edwin C Schafer Edwin C Schafer President 2016-12-06