0001564308-15-000001.txt : 20151210 0001564308-15-000001.hdr.sgml : 20151210 20151209174446 ACCESSION NUMBER: 0001564308-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20151210 DATE AS OF CHANGE: 20151209 EFFECTIVENESS DATE: 20151210 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: 021-252737 FILM NUMBER: 151279205 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 92563 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 92563 Director Mary O'Toole-Phillips, M.D. 24411 Health Center Dr. Suite 104 Laguna Hills CA CALIFORNIA 92563 Director David Sabet, M.D. 24411 Health Center Dr. Suite 104 Laguna Hills CA CALIFORNIA 92563 Director Kyle Coker, M.D. 24411 Health Center Dr. Suite 104 Laguna Hills CA CALIFORNIA 92563 Director Mark Schafer, M.D. 24411 Health Center Dr. Suite 104 Laguna Hills CA CALIFORNIA 92563 Director Wang Teng, M.D. 24411 Health Center Dr. Suite 104 Laguna Hills CA CALIFORNIA 92563 Director Daniel Sternfeld, M.D. 24411 Health Center Dr. Suite 104 Laguna Hills CA CALIFORNIA 92563 Director Bart Asner, M.D. 24411 Health Center Dr. Suite 104 Laguna Hills CA CALIFORNIA 92563 Director Kelli Ruiz 24411 Health Center Dr. Suite 104 Laguna Hills CA CALIFORNIA 92563 Director Other Health Care Decline to Disclose 06b 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 243750 0 243750 false 0 0 0 0 false MemorialCare Surgical Center at Saddleback, LLC Mark Schafer Mark Schafer Manager 2015-12-09