0001564308-18-000001.txt : 20181010 0001564308-18-000001.hdr.sgml : 20181010 20181010113006 ACCESSION NUMBER: 0001564308-18-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20181010 DATE AS OF CHANGE: 20181010 EFFECTIVENESS DATE: 20181010 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: 021-323180 FILM NUMBER: 181115347 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 X0708 D LIVE 0001564308 MemorialCare Surgical Center at Saddleback, LLC 24411 HEALTH CENTER DRIVE SUITE 104 LAGUNA HILLS CA CALIFORNIA 92653 949-458-5600 CALIFORNIA None None Limited Liability Company true N/A Beach Surgical Holdings LLC 17360 Brookhurst St. Fountain Valley CA CALIFORNIA 92708 Executive Officer Director Manager Texas Gustavson 17360 Brookhurst St. Fountain Valley CA CALIFORNIA 92708 Executive Officer Director Board Member of Manager Julie Roberts 17360 Brookhurst St. Fountain Valley CA CALIFORNIA 92708 Executive Officer Director Board Member of Manager Marcia Manker 17360 Brookhurst St. Fountain Valley CA CALIFORNIA 92708 Executive Officer Director Board Member of Manager Mark Schafer 17360 Brookhurst St. Fountain Valley CA CALIFORNIA 92708 Executive Officer Director Board Member of Manager Scott Schiffman 17360 Brookhurst St. Fountain Valley CA CALIFORNIA 92708 Executive Officer Director Board Member of Manager Other Health Care Decline to Disclose 06b false 2018-10-09 false true false 0 N/A None SCA Development, LLC 35451 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 CA CALIFORNIA false 128126 42709 85417 false 1 0 0 128126 Payment to the Manager false MemorialCare Surgical Center at Saddleback, LLC /s/ Cade Morgan Cade Morgan Attorney for Issuer 2018-10-10