0001015325-18-000002.txt : 20180117 0001015325-18-000002.hdr.sgml : 20180117 20180117141832 ACCESSION NUMBER: 0001015325-18-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180117 DATE AS OF CHANGE: 20180117 EFFECTIVENESS DATE: 20180117 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Burlington County Endoscopy Center, LLC CENTRAL INDEX KEY: 0001728271 IRS NUMBER: 208205206 STATE OF INCORPORATION: NJ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-303431 FILM NUMBER: 18531109 BUSINESS ADDRESS: STREET 1: 140 MT HOLLY BYPASS CITY: LUMBERTON STATE: NJ ZIP: 08048 BUSINESS PHONE: (609) 267-1555 MAIL ADDRESS: STREET 1: 140 MT HOLLY BYPASS CITY: LUMBERTON STATE: NJ ZIP: 08048 D 1 primary_doc.xml X0708 D LIVE 0001728271 Burlington County Endoscopy Center, LLC 140 MT HOLLY BYPASS LUMBERTON NJ NEW JERSEY 08048 (609) 267-1555 NEW JERSEY None None Limited Liability Company true Jeffrey J Kutscher, M.D. c/o Burlington County Endoscopy Center 140 Mt Holly Bypass Lumberton NJ NEW JERSEY 08048 Executive Officer Director Nidhir R. Sheth, M.D. c/o Burlington County Endoscopy Center 140 Mt Holly Bypass Lumberton NJ NEW JERSEY 08048 Director Robert D Estes c/o Burlington County Endoscopy Center 140 Mt Holly Bypass Lumberton NJ NEW JERSEY 08048 Executive Officer Director Jennifer Romond c/o Burlington County Endoscopy Center 140 Mt Holly Bypass Lumberton NJ NEW JERSEY 08048 Executive Officer Director Lillian Carson c/o Burlington County Endoscopy Center 140 Mt Holly Bypass Lumberton NJ NEW JERSEY 08048 Director Fran Blackwell c/o Burlington County Endoscopy Center 140 Mt Holly Bypass Lumberton NJ NEW JERSEY 08048 Director Karen Sablyak c/o Burlington County Endoscopy Center 140 Mt Holly Bypass Lumberton NJ NEW JERSEY 08048 Executive Officer Tara Hamburger c/o Burlington County Endoscopy Center 140 Mt Holly Bypass Lumberton NJ NEW JERSEY 08048 Executive Officer Other Health Care Decline to Disclose 06b false 2018-01-01 false true false 0 1014765 1014765 0 false 1 0 0 0 false Burlington County Endoscopy Center, LLC /s/ Robert D. Estes Robert D. Estes Manager 2018-01-17