0001209191-21-046096.txt : 20210709
0001209191-21-046096.hdr.sgml : 20210709
20210709131708
ACCESSION NUMBER: 0001209191-21-046096
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20210709
DATE AS OF CHANGE: 20210709
EFFECTIVENESS DATE: 20210709
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: 021-405725
FILM NUMBER: 211082312
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
X0708
D
LIVE
0001019404
AMERICAN KIDNEY STONE MANAGEMENT LTD
100 W. 3rd Ave
Suite 350
Columbus
OH
OHIO
43201
614-298-8150
OHIO
None
None
Limited Liability Company
true
Glenn
A.
Hetu
1700 West Park Drive
Suite 410
Westborough
MA
MASSACHUSETTS
01581
Executive Officer
Director
"Directors" are referred to "Managers" in this entity.
David
M.
Stewart, M.D.
100 W. 3rd Ave
Suite 350
Columbus
OH
OHIO
43201
Director
"Directors" are referred to "Managers" in this entity.
David
Blechman
2001 Palmer Ave
Suite 205
Larchmont
NY
NEW YORK
10538
Director
"Directors" are referred to "Managers" in this entity.
Other Health Care
Decline to Disclose
- 06b
false
2021-07-01
false
true
true
false
11000
550000
22000
528000
false
1
0
0
0
false
American Kidney Stone Management LTD
/s/ Glenn A. Hetu
Glenn A. Hetu
Secretary
2021-07-09