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