0001453516-16-000004.txt : 20160114 0001453516-16-000004.hdr.sgml : 20160114 20160113173151 ACCESSION NUMBER: 0001453516-16-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160114 DATE AS OF CHANGE: 20160113 EFFECTIVENESS DATE: 20160114 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: 021-255124 FILM NUMBER: 161341500 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., MD 100 W. 3RD AVE, SUITE 350 COLUMBUS OH OHIO 43201 Executive Officer Director DIRECTORS ARE REFERRED TO AS "MANAGERS" IN THIS ENTITY. WILLIAM L. NABORS, MD 100 W. 3RD AVE, SUITE 350 COLUMBUS OH OHIO 43201 Director DIRECTORS ARE REFERRED TO AS "MANAGERS" IN THIS ENTITY. DOUGLAS A. NYHOFF, MD 100 W. 3RD AVE, SUITE 350 COLUMBUS OH OHIO 43201 Director DIRECTORS ARE REFERRED TO AS "MANAGERS" IN THIS ENTITY. ALAN BUERGENTHAL 100 W. 3RD AVE, SUITE 350 COLUMBUS OH OHIO 43201 Director DIRECTORS ARE REFERRED TO AS "MANAGERS" IN THIS ENTITY. Other Health Care Decline to Disclose 06b false true false true true false 9060 226500 0 226500 true 0 0 0 0 0 false SOUTHEAST LITHOTRIPSY LLC RIC HUGHES RIC HUGHES CFO OF AMERICAN KIDNEY STONE MANAGEMENT, LTD., ITS MGMT. CO. 2016-01-13