0001979083-23-000001.txt : 20230530 0001979083-23-000001.hdr.sgml : 20230530 20230530141429 ACCESSION NUMBER: 0001979083-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 504(b)(1) (not (i), (ii) or (iii)) ITEM INFORMATION: 06b FILED AS OF DATE: 20230530 DATE AS OF CHANGE: 20230530 EFFECTIVENESS DATE: 20230530 FILER: COMPANY DATA: COMPANY CONFORMED NAME: UMS Racine County URS Lithotripsy, LLC CENTRAL INDEX KEY: 0001979083 IRS NUMBER: 884345350 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-482865 FILM NUMBER: 23975069 BUSINESS ADDRESS: STREET 1: 1700 WEST PARK DRIVE STREET 2: SUITE 410 CITY: WESTBOROUGH STATE: MA ZIP: 01581 BUSINESS PHONE: 508-870-6565 MAIL ADDRESS: STREET 1: 1700 WEST PARK DRIVE STREET 2: SUITE 410 CITY: WESTBOROUGH STATE: MA ZIP: 01581 D 1 primary_doc.xml X0708 D LIVE 0001979083 UMS Racine County URS Lithotripsy, LLC 1700 WEST PARK DRIVE SUITE 410 WESTBOROUGH MA MASSACHUSETTS 01581 508-870-6565 DELAWARE None None Limited Liability Company true 2022 Mike Martin 1700 West Park Drive Suite 410 Westborough MA MASSACHUSETTS 01581 Executive Officer Director Directors are referred to as "managers" in this entity. Glenn Hetu 1700 West Park Drive Suite 410 Westborough MA MASSACHUSETTS 01581 Executive Officer Director Directors are referred to as "managers" in this entity. n/a UMS Lithotripsy Management, LLC 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 04 06b false 2023-03-07 false true false 51558 206230 154672 51558 true 0 2 0 0 0 false UMS Racine County URS Lithotripsy, LLC /s/ Glenn Hetu Glenn Hetu Sr. Vice President 2023-05-30