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