0001019404-14-000002.txt : 20140228
0001019404-14-000002.hdr.sgml : 20140228
20140228122836
ACCESSION NUMBER: 0001019404-14-000002
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20140228
DATE AS OF CHANGE: 20140228
EFFECTIVENESS DATE: 20140228
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: AMERICAN KIDNEY STONE MANAGEMENT LTD
CENTRAL INDEX KEY: 0001019404
IRS NUMBER: 311430603
STATE OF INCORPORATION: OH
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-212712
FILM NUMBER: 14653075
BUSINESS ADDRESS:
STREET 1: 100 W. 3RD AVENUE, SUITE 350
CITY: COLUMBUS
STATE: OH
ZIP: 43201
BUSINESS PHONE: 614-298-8150
MAIL ADDRESS:
STREET 1: 100 W. 3RD AVENUE, SUITE 350
CITY: COLUMBUS
STATE: OH
ZIP: 43201
D
1
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0001019404
AMERICAN KIDNEY STONE MANAGEMENT LTD
100 W. 3RD AVENUE, SUITE 350
COLUMBUS
OH
OHIO
43201
614-298-8150
OHIO
None
None
Limited Liability Company
true
Henry
A.
Wise, II, M.D.
100 W. 3rd Avenue, Suite 350
Columbus
OH
OHIO
43201
Executive Officer
Director
Stephen
Koff, M.D.
100 W. 3rd Avenue, Suite 350
Columbus
OH
OHIO
43201
Executive Officer
Director
Daniel
Murtaugh, M.D.
100 W. 3rd Avenue, Suite 350
Columbus
OH
OHIO
43201
Director
Giovanni
Colombo, M.D.
100 W. 3rd Avenue, Suite 350
Columbus
OH
OHIO
43201
Director
rocco
A.
Morabito, M.D.
100 W. 3rd Avenue, Suite 350
Columbus
OH
OHIO
43201
Director
Victor
E.
Agusta, M.D.
100 W. 3rd Avenue, Suite 350
Columbus
OH
OHIO
43201
Director
Ronald
G.
Cercone, M.D.
100 W. 3rd Avenue, Suite 350
Columbus
OH
OHIO
43201
Director
David
W.
Stewart, M.D.
100 W. 3rd Avenue, Suite 350
Columbus
OH
OHIO
43201
Director
Paul
R.
Sieber, M.D.
100 W. 3rd Avenue, Suite 350
Columbus
OH
OHIO
43201
Director
Raymond
Scott
Russell, M.D.
100 W. 3rd Avenue, Suite 350
Columbus
OH
OHIO
43201
Director
Other Health Care
Decline to Disclose
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true
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AMERICAN KIDNEY STONE MANAGEMENT LTD
Alan Buergenthal
Alan Buergenthal
Chief Operating Officer
2014-02-27