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 primary_doc.xml X0707 D LIVE 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 06b false true false true false 42 4621050 0 4621050 true 0 0 0 0 0 false AMERICAN KIDNEY STONE MANAGEMENT LTD Alan Buergenthal Alan Buergenthal Chief Operating Officer 2014-02-27