0001565281-18-000003.txt : 20181206
0001565281-18-000003.hdr.sgml : 20181206
20181204190745
ACCESSION NUMBER: 0001565281-18-000003
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20181205
DATE AS OF CHANGE: 20181204
EFFECTIVENESS DATE: 20181205
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Northwest Medical Isotopes, LLC
CENTRAL INDEX KEY: 0001565281
IRS NUMBER: 951330914
STATE OF INCORPORATION: OR
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-327204
FILM NUMBER: 181218261
BUSINESS ADDRESS:
STREET 1: 777 NW 9TH STREET
STREET 2: SUITE 404
CITY: CORVALLIS
STATE: OR
ZIP: 97330
BUSINESS PHONE: 5417681320
MAIL ADDRESS:
STREET 1: 777 NW 9TH STREET
STREET 2: SUITE 404
CITY: CORVALLIS
STATE: OR
ZIP: 97330
D
1
primary_doc.xml
X0708
D
LIVE
0001565281
Northwest Medical Isotopes, LLC
777 NW 9TH STREET
SUITE 404
CORVALLIS
OR
OREGON
97330
541 768-1320
OREGON
None
None
Limited Liability Company
true
LARRY
MULLINS
777 NW 9TH STREET
CORVALLIS
OR
OREGON
97330
Executive Officer
Director
KIRK
GERNER
777 NW 9TH STREET
CORVALLIS
OR
OREGON
97330
Director
MILT
CHEEVER
777 NW 9TH STREET
CORVALLIS
OR
OREGON
97330
Director
MICHAEL
DONAVAN
777 NW 9TH STREET
CORVALLIS
OR
OREGON
97330
Director
CAROLYN
HAASS
777 NW 9TH STREET
CORVALLIS
OR
OREGON
97330
Executive Officer
Director
Other Health Care
Decline to Disclose
- 06b
false
2018-11-09
false
true
true
true
false
50000
5330000
75000
5255000
false
2
0
0
0
false
Northwest Medical Isotopes, LLC
/s/ Larry Mullins
LARRY MULLINS
EXEC. CHAIRMAN
2018-12-04