0001565281-18-000004.txt : 20181219 0001565281-18-000004.hdr.sgml : 20181219 20181219145242 ACCESSION NUMBER: 0001565281-18-000004 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20181219 DATE AS OF CHANGE: 20181219 EFFECTIVENESS DATE: 20181219 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Northwest Medical Isotopes, LLC CENTRAL INDEX KEY: 0001565281 IRS NUMBER: 951330914 STATE OF INCORPORATION: OR FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-327204 FILM NUMBER: 181243239 BUSINESS ADDRESS: STREET 1: 777 NW 9TH STREET STREET 2: SUITE 404 CITY: CORVALLIS STATE: OR ZIP: 97330 BUSINESS PHONE: 5417681320 MAIL ADDRESS: STREET 1: 777 NW 9TH STREET STREET 2: SUITE 404 CITY: CORVALLIS STATE: OR ZIP: 97330 D/A 1 primary_doc.xml X0708 D/A LIVE 0001565281 Northwest Medical Isotopes, LLC 777 NW 9TH STREET SUITE 404 CORVALLIS OR OREGON 97330 5417681320 OREGON None None Limited Liability Company true LARRY MULLINS 777 NW 9TH STREET CORVALLIS OR OREGON 97330 Executive Officer Director KIRK GERNER 777 NW 9TH STREET CORVALLIS OR OREGON 97330 Director MILT CHEEVER 777 NW 9TH STREET CORVALLIS OR OREGON 97330 Director MICHAEL DONOVAN 777 NW 9TH STREET CORVALLIS OR OREGON 97330 Director CAROLYN HAASS 777 NW 9TH STREET CORVALLIS OR OREGON 97330 Executive Officer Director Other Health Care Decline to Disclose 06b true 0001565281-18-000003 2018-11-09 false true true true false 50000 5478000 3478000 2000000 false 16 0 0 0 false Northwest Medical Isotopes, LLC /s/ Larry Mullins LARRY MULLINS EXEC. CHAIRMAN 2018-12-19