0001564308-14-000002.txt : 20140825 0001564308-14-000002.hdr.sgml : 20140825 20140825163202 ACCESSION NUMBER: 0001564308-14-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140825 DATE AS OF CHANGE: 20140825 EFFECTIVENESS DATE: 20140825 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MemorialCare Surgical Center at Saddleback, LLC CENTRAL INDEX KEY: 0001564308 IRS NUMBER: 203678259 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-223579 FILM NUMBER: 141062863 BUSINESS ADDRESS: STREET 1: 24411 HEALTH CENTER DRIVE STREET 2: SUITE 104 CITY: LAGUNA HILLS STATE: CA ZIP: 92653 BUSINESS PHONE: 949-452-7109 MAIL ADDRESS: STREET 1: 24411 HEALTH CENTER DRIVE STREET 2: SUITE 104 CITY: LAGUNA HILLS STATE: CA ZIP: 92653 D 1 primary_doc.xml X0707 D LIVE 0001564308 MemorialCare Surgical Center at Saddleback, LLC 24411 HEALTH CENTER DRIVE SUITE 104 LAGUNA HILLS CA CALIFORNIA 92653 949-452-7109 CALIFORNIA None None Limited Liability Company true N/A Beach Surgical Holdings LLC 17360 Brookhurst St Fountain Valley CA CALIFORNIA 92708 Executive Officer Director William Wallace, M.D. 24411 Health Center Dr. Suite 104 Laguna Hills CA CALIFORNIA 92653 Director Mary O'Toole-Phillips, M.D. 24411 Health Center Dr. Suite 104 Laguna Hills CA CALIFORNIA 92653 Director David Sabet, M.D. 24411 Health Center Dr. Suite 104 Laguna Hills CA CALIFORNIA 92653 Director Kyle Coker, M.D. 24411 Health Center Dr. Suite 104 Laguna Hills CA CALIFORNIA 92653 Director Mark Schafer, M.D. 24411 Health Center Dr. Suite 104 Laguna Hills CA CALIFORNIA 92653 Director Wang Teng, M.D. 24411 Health Center Dr. Suite 104 Laguna Hills CA CALIFORNIA 92653 Director Daniel Sternfeld, M.D. 24411 Health Center Dr. Suite 104 Laguna Hills CA CALIFORNIA 92653 Director Bart Asner, M.D. 24411 Health Center Dr. Suite 104 Laguna Hills CA CALIFORNIA 92653 Director Kelli Ruiz 24411 Health Center Dr. Suite 104 Laguna Hills CA CALIFORNIA 92653 Director Other Health Care Decline to Disclose 06b false 2014-07-31 false true false 7795 N/A None SCA Development, LLC 35451 3000 Riverchase Galleria Suite 500 Birmingham AL ALABAMA 35244 CA CALIFORNIA false 1479057 1124930 354127 false 20 0 0 0 false MemorialCare Surgical Center at Saddleback, LLC /s/ Mark Schafer Mark Schafer Manager of Managing Member 2014-08-19