0001015325-18-000046.txt : 20181217 0001015325-18-000046.hdr.sgml : 20181217 20181217155235 ACCESSION NUMBER: 0001015325-18-000046 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20181217 DATE AS OF CHANGE: 20181217 EFFECTIVENESS DATE: 20181217 FILER: COMPANY DATA: COMPANY CONFORMED NAME: UH North Ridgeville Endoscopy Center, LLC CENTRAL INDEX KEY: 0001761926 IRS NUMBER: 831320776 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-328158 FILM NUMBER: 181238105 BUSINESS ADDRESS: STREET 1: 32800 LORAIN ROAD CITY: NORTH RIDGEVILLE STATE: OH ZIP: 44039 BUSINESS PHONE: (215) 589-1053 MAIL ADDRESS: STREET 1: 32800 LORAIN ROAD CITY: NORTH RIDGEVILLE STATE: OH ZIP: 44039 D 1 primary_doc.xml X0708 D LIVE 0001761926 UH North Ridgeville Endoscopy Center, LLC 32800 LORAIN ROAD NORTH RIDGEVILLE OH OHIO 44039 (215) 589-1053 OHIO None None Limited Liability Company true 2018 Sapna Thomas, M.D. c/o UH North Ridgeville Endoscopy Center 32800 Lorain Road North Ridgeville OH OHIO 44039 Executive Officer Director Manager Dany Raad, M.D. c/o UH North Ridgeville Endoscopy Center 32800 Lorain Road North Ridgeville OH OHIO 44039 Director Manager Shaffer Mok, M.D. c/o UH North Ridgeville Endoscopy Center 32800 Lorain Road North Ridgeville OH OHIO 44039 Director Manager Brian Putka, M.D. c/o UH North Ridgeville Endoscopy Center 32800 Lorain Road North Ridgeville OH OHIO 44039 Director Manager John Dumot c/o UH North Ridgeville Endoscopy Center 32800 Lorain Road North Ridgeville OH OHIO 44039 Executive Officer Director Manager Bruce Bardall c/o UH North Ridgeville Endoscopy Center 32800 Lorain Road North Ridgeville OH OHIO 44039 Director Manager Karen Sablyak c/o UH North Ridgeville Endoscopy Center 32800 Lorain Road North Ridgeville OH OHIO 44039 Executive Officer Tara Hamburger c/o UH North Ridgeville Endoscopy Center 32800 Lorain Road North Ridgeville OH OHIO 44039 Executive Officer Other Health Care Decline to Disclose 06b false 2018-12-01 false true false 100896 823640 823640 0 false 5 0 0 0 false UH North Ridgeville Endoscopy Center, LLC /s/ Tara Hamburger Tara Hamburger Co-Treasurer 2018-12-17