0001454255-19-000001.txt : 20190801 0001454255-19-000001.hdr.sgml : 20190801 20190801134904 ACCESSION NUMBER: 0001454255-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190801 DATE AS OF CHANGE: 20190801 EFFECTIVENESS DATE: 20190801 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: 021-345600 FILM NUMBER: 19992101 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 X0708 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, LLC 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Director General partner Brian Finster 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Director Board member of Issuer's general partner Julie Roberts 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Director Board member of Issuer's general partner Darren Lee 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Director Board member of Issuer's general partner Chris Acker 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Director Board member of Issuer's general partner Other Health Care Decline to Disclose 06b false true false true false 0 N/A None SCA Development, LLC 35451 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 CA CALIFORNIA false 90000 0 90000 false 0 0 0 0 false Channel Islands Surgicenter, L.P. /s/ Cade Morgan Cade Morgan Attorney for the Issuer 2019-08-01