0001503249-13-000001.txt : 20130123 0001503249-13-000001.hdr.sgml : 20130123 20130123114306 ACCESSION NUMBER: 0001503249-13-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20130123 DATE AS OF CHANGE: 20130123 EFFECTIVENESS DATE: 20130123 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Piedmont Stone Center PLLC CENTRAL INDEX KEY: 0001331342 IRS NUMBER: 000000000 STATE OF INCORPORATION: NC FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-190627 FILM NUMBER: 13542027 BUSINESS ADDRESS: STREET 1: 3825 FORRESTGATE DRIVE CITY: WINSTON SALEM STATE: NC ZIP: 27103 BUSINESS PHONE: 336-714-2600 MAIL ADDRESS: STREET 1: 3825 FORRESTGATE DRIVE CITY: WINSTON SALEM STATE: NC ZIP: 27103 D 1 primary_doc.xml X0706 D LIVE 0001331342 Piedmont Stone Center PLLC 3825 FORRESTGATE DRIVE WINSTON SALEM NC NORTH CAROLINA 27103 336-714-2600 NORTH CAROLINA None None Limited Liability Company true CHARLES H. HAUSER 3825 FORREST GATE DR WINSTON SALEM NC NORTH CAROLINA 27103 Executive Officer Promoter CHIEF EXECUTIVE OFFICER. R. DEAN CLOWER, MD 3825 FORREST GATE DR WINSTON SALEM NC NORTH CAROLINA 27103 Director RALPH H. DUCKETT, MD 3825 FORREST GATE DR WINSTON SALEM NC NORTH CAROLINA 27103 Director DAVID GRAPEY, MD 3825 FORREST GATE DR WINSTON SALEM NC NORTH CAROLINA 27103 Director RICHARD DAVIS HART, DO 3825 FORREST GATE DR WINSTON SALEM NC NORTH CAROLINA 27103 Director GEORGE SAM HURT, MD 3825 FORREST GATE DR WINSTON SALEM NC NORTH CAROLINA 27103 Director ATLEE JOHNSON, MD 3825 FORREST GATE DR WINSTON SALEM NC NORTH CAROLINA 27103 Director GEORGE B. NEWSOME, MD 3825 FORREST GATE DR WINSTON SALEM NC NORTH CAROLINA 27103 Director CHARLES MILLER, MD 3825 FORREST GATE DR WINSTON SALEM NC NORTH CAROLINA 27103 Director SCOTT STOLOFF, MD 3825 FORREST GATE DR WINSTON SALEM NC NORTH CAROLINA 27103 Director Other Health Care Decline to Disclose 06 false 2013-01-10 false true false 28900 578000 86700 491300 false 3 0 0 0 false Piedmont Stone Center PLLC /s/ Charles H. Hauser CHARLES H. HAUSER CHIEF EXECUTIVE OFFICER 2013-01-18