0001564308-16-000002.txt : 20160818 0001564308-16-000002.hdr.sgml : 20160818 20160818170420 ACCESSION NUMBER: 0001564308-16-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160818 DATE AS OF CHANGE: 20160818 EFFECTIVENESS DATE: 20160818 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: 021-269221 FILM NUMBER: 161841469 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 N/A Beach Surgical Holdings LLC 17360 Brookhurst Street Fountain Valley CA CALIFORNIA 92708 Executive Officer Director Managing Member William Wallace, M.D. 24411 Health Center Drive Suite 104 Laguna Hills CA CALIFORNIA 92653 Director Mary O'Toole-Phillips, M.D. 24411 Health Center Drive Suite 104 Laguna Hills CA CALIFORNIA 92653 Director David Sabet, M.D. 24411 Health Center Drive Suite 104 Laguna Hills CA CALIFORNIA 92653 Director Larry Gersten, M.D. 24411 Health Center Drive Suite 104 Laguna Hills CA CALIFORNIA 92653 Director Mark Schafer, M.D. 24411 Health Center Drive Suite 104 Laguna Hills CA CALIFORNIA 92653 Director Wang Teng, M.D. 24411 Health Center Drive Suite 104 Laguna Hills CA CALIFORNIA 92653 Director Daniel Sternfeld, M.D. 24411 Health Center Drive Suite 104 Laguna Hills CA CALIFORNIA 92653 Director Bart Asner, M.D. 24411 Health Center Drive Suite 104 Laguna Hills CA CALIFORNIA 92653 Director Kelli Ruiz 24411 Health Center Drive Suite 104 Laguna Hills CA CALIFORNIA 92653 Director 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 353343 0 353343 false 0 0 0 0 false MemorialCare Surgical Center at Saddleback, LLC Kelli Ruiz Kelli Ruiz Manager of Managing Member 2016-08-18