0001454255-12-000002.txt : 20121130 0001454255-12-000002.hdr.sgml : 20121130 20121130163043 ACCESSION NUMBER: 0001454255-12-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20121130 DATE AS OF CHANGE: 20121130 EFFECTIVENESS DATE: 20121130 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Channel Islands Surgicenter, L.P. CENTRAL INDEX KEY: 0001454255 IRS NUMBER: 770418197 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-187736 FILM NUMBER: 121235017 BUSINESS ADDRESS: STREET 1: 2300 WANKEL WAY CITY: OXNARD STATE: CA ZIP: 93030 BUSINESS PHONE: 205-970-2610 MAIL ADDRESS: STREET 1: 3000 RIVERCHASE GALLERIA STREET 2: SUITE 500 CITY: BIRMINGHAM STATE: AL ZIP: 35244 FORMER COMPANY: FORMER CONFORMED NAME: CHANNEL ISLANDS SURGICENTER LP DATE OF NAME CHANGE: 20090116 D 1 primary_doc.xml X0706 D LIVE 0001454255 Channel Islands Surgicenter, L.P. 2300 WANKEL WAY OXNARD CA CALIFORNIA 93030 805-485-1908 CALIFORNIA CHANNEL ISLANDS SURGICENTER LP Limited Partnership true N/A N/A NSC Channel Islands, Inc. 3000 Riverchase Galleria, Suite 500 Birmingham AL ALABAMA 35244 Executive Officer Director General Partner Andrew P. Hayek 3000 Riverchase Galleria, Suite 500 Birmingham AL ALABAMA 35244 Executive Officer Joseph T. Clark 3000 Riverchase Galleria, Suite 500 Birmingham AL ALABAMA 35244 Executive Officer Richard L. Sharff, Jr. 3000 Riverchase Galleria, Suite 500 Birmingham AL ALABAMA 35244 Executive Officer Michael Rucker 3000 Riverchase Galleria, Suite 500 Birmingham AL ALABAMA 35244 Executive Officer Peter Clemens 3000 Riverchase Galleria, Suie 500 Birmingham AL ALABAMA 35244 Executive Officer Other Health Care Decline to Disclose 06 false true false true false 0 N/A None SCA Development, LLC 35451 3000 Riverchase Galleria, Suite 500 Birmingham AL ALABAMA 35244 CA CALIFORNIA false 1095720 0 1095720 false 0 0 0 0 false Channel Islands Surgicenter, L.P. /s/ Richard L. Sharff, Jr. Richard L. Sharff, Jr. Vice President of General Partner 2012-11-30