0001453516-14-000003.txt : 20140819 0001453516-14-000003.hdr.sgml : 20140819 20140819153609 ACCESSION NUMBER: 0001453516-14-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140819 DATE AS OF CHANGE: 20140819 EFFECTIVENESS DATE: 20140819 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SOUTHEAST LITHOTRIPSY LLC CENTRAL INDEX KEY: 0001453516 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-223273 FILM NUMBER: 141051971 BUSINESS ADDRESS: STREET 1: 100 W. 3RD AVE., SUITE 350 CITY: Columbus STATE: OH ZIP: 43201 BUSINESS PHONE: 6142988150 MAIL ADDRESS: STREET 1: 100 W. 3RD AVE., SUITE 350 CITY: Columbus STATE: OH ZIP: 43201 D 1 primary_doc.xml X0707 D LIVE 0001453516 SOUTHEAST LITHOTRIPSY LLC 100 W. 3RD AVE., SUITE 350 Columbus OH OHIO 43201 6142988150 DELAWARE None None Limited Liability Company true E. Wylly Killorin, Jr., M.D. 100 W. 3RD AVE., SUITE 350 Columbus OH OHIO 43201 Executive Officer Director William L. Nabors, M.D. 100 W. 3RD AVE., SUITE 350 Columbus OH OHIO 43201 Director Douglas A. Nyhoff, M.D. 100 W. 3RD AVE., SUITE 350 Columbus OH OHIO 43201 Director Alan Buergenthal 100 W. 3RD AVE., SUITE 350 Columbus OH OHIO 43201 Director Other Health Care Decline to Disclose 06b false true false true true false 9060 135900 0 135900 false 0 0 0 0 false SOUTHEAST LITHOTRIPSY LLC Ric Hughes Ric Hughes CFO of American Kidney Stone Management, Ltd., its Mgmt. Co. 2014-08-18