0001402165-13-000002.txt : 20131210 0001402165-13-000002.hdr.sgml : 20131210 20131210161832 ACCESSION NUMBER: 0001402165-13-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20131210 DATE AS OF CHANGE: 20131210 EFFECTIVENESS DATE: 20131210 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Commonwealth Urologic Services LLC CENTRAL INDEX KEY: 0001402165 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-207733 FILM NUMBER: 131268636 BUSINESS ADDRESS: STREET 1: 100 W. 3RD AVENUE, SUITE 350 CITY: Columbus STATE: OH ZIP: 43201 BUSINESS PHONE: 6142988150 MAIL ADDRESS: STREET 1: 100 W. 3RD AVENUE, SUITE 350 CITY: Columbus STATE: OH ZIP: 43201 D 1 primary_doc.xml X0707 D LIVE 0001402165 Commonwealth Urologic Services LLC 100 W. 3RD AVENUE, SUITE 350 Columbus OH OHIO 43201 6142988150 DELAWARE None None Limited Liability Company true David Kagey 100 W. 3rd Avenue, Suite 350 Columbus OH OHIO 43201 Executive Officer Director Marcus Morra 100 W. 3rd Avenue, Suite 350 Columbus OH OHIO 43201 Executive Officer Director Rodney Poffenberger 100 W. 3rd Avenue, Suite 350 Columbus OH OHIO 43201 Executive Officer Director C. Buckley Gillock 100 W. 3rd Avenue, Suite 350 Columbus OH OHIO 43201 Director David Pfeffer 100 W. 3rd Avenue, Suite 350 Columbus OH OHIO 43201 Director Jeffrey Lou 100 W. 3rd Avenue, Suite 350 Columbus OH OHIO 43201 Director Andrew Whisnant 100 W. 3rd Avenue, Suite 350 Columbus OH OHIO 43201 Director Henry, II Wise 100 W. 3rd Avenue, Suite 350 Columbus OH OHIO 43221 Director Regina Martin 100 W. 3rd Avenue, Suite 350 Columbus OH OHIO 43221 Director Other Health Care Decline to Disclose 06b false true false true true false 21600 324000 0 324000 false 0 0 0 0 false Commonwealth Urologic Services LLC Alan Buergenthal Alan Buergenthal COO of American Kidney Stone Management, Ltd., its Mgmt. Co. 2013-12-10