0001966022-23-000002.txt : 20230307 0001966022-23-000002.hdr.sgml : 20230307 20230307115619 ACCESSION NUMBER: 0001966022-23-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230307 DATE AS OF CHANGE: 20230307 EFFECTIVENESS DATE: 20230307 FILER: COMPANY DATA: COMPANY CONFORMED NAME: UMS State College Lithotripsy Services, LLC CENTRAL INDEX KEY: 0001966022 IRS NUMBER: 921985913 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-475072 FILM NUMBER: 23711697 BUSINESS ADDRESS: STREET 1: 100 W. THIRD AVE. STREET 2: SUITE 350 CITY: COLUMBUS STATE: OH ZIP: 43201 BUSINESS PHONE: 508-870-6565 MAIL ADDRESS: STREET 1: 100 W. THIRD AVE. STREET 2: SUITE 350 CITY: COLUMBUS STATE: OH ZIP: 43201 D 1 primary_doc.xml X0708 D LIVE 0001966022 UMS State College Lithotripsy Services, LLC 100 W. THIRD AVE. SUITE 350 COLUMBUS OH OHIO 43201 508-870-6565 DELAWARE None None Limited Liability Company true 2023 Mike Martin 100 W. 3rd Ave. Suite 350 Columbus OH OHIO 43201 Executive Officer Director "Directors" are referred to "Managers" in this entity. Glenn Hetu 1700 West Park Drive Suite 410 Westborough MA MASSACHUSETTS 01581 Director "Directors" are referred to as "Managers" in this entity. Other Health Care Decline to Disclose 06b false 2023-02-27 false true false 10131 20262 20262 0 false 2 0 0 0 false UMS State College Lithotripsy Services, LLC /s/ Glenn Hetu Glenn Hetu Secretary of AKSM, Ltd. its Management Co. 2023-03-07