0001015325-19-000038.txt : 20191216 0001015325-19-000038.hdr.sgml : 20191216 20191216141108 ACCESSION NUMBER: 0001015325-19-000038 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20191216 DATE AS OF CHANGE: 20191216 EFFECTIVENESS DATE: 20191216 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Endoscopy Center of West Central Ohio, LLC CENTRAL INDEX KEY: 0001796745 IRS NUMBER: 260251730 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-355586 FILM NUMBER: 191286658 BUSINESS ADDRESS: STREET 1: 2793 SHAWNEE ROAD CITY: LIMA STATE: OH ZIP: 45806 BUSINESS PHONE: 419-227-8209 MAIL ADDRESS: STREET 1: 2793 SHAWNEE ROAD CITY: LIMA STATE: OH ZIP: 45806 D 1 primary_doc.xml X0708 D LIVE 0001796745 Endoscopy Center of West Central Ohio, LLC 2793 SHAWNEE ROAD LIMA OH OHIO 45806 419-227-8209 OHIO None None Limited Liability Company true Scott Rinesmith c/o Endoscopy Center of West Central Ohi 2793 Shawnee Road Lima OH OHIO 45806 Director Robert Neidich c/o Endoscopy Center of West Central Ohi 2793 Shawnee Road Lima OH OHIO 45806 Director Mary Ann Gellenbeck c/o Endoscopy Center of West Central Ohi 2793 Shawnee Road Lima OH OHIO 45806 Director Mark Leifer c/o Endoscopy Center of West Central Ohi 2793 Shawnee Road Lima OH OHIO 45806 Executive Officer Tariq Sheikh c/o Endoscopy Center of West Central Ohi 2793 Shawnee Road Lima OH OHIO 45806 Executive Officer Tara Hamburger c/o Endoscopy Center of West Central Ohi 2793 Shawnee Road Lima OH OHIO 45806 Executive Officer Sharon Hohlfeld c/o Endoscopy Center of West Central Ohi 2793 Shawnee Road Lima OH OHIO 45806 Executive Officer Other Health Care Decline to Disclose 06b false 2019-12-01 false true false 0 963793 963793 0 false 1 0 0 0 false Endoscopy Center of West Central Ohio, LLC /s/ Tara Hamburger Tara Hamburger Treasurer 2019-12-16