0001564308-19-000001.txt : 20190723 0001564308-19-000001.hdr.sgml : 20190723 20190722174201 ACCESSION NUMBER: 0001564308-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190723 DATE AS OF CHANGE: 20190722 EFFECTIVENESS DATE: 20190723 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: 021-344813 FILM NUMBER: 19966485 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 Managing Member Texas Gustavson 17360 Brookhurst St. Fountain Valley CA CALIFORNIA 92708 Director Board Member of Managing Member Kevin Davidson 17360 Brookhurst St. Fountain Valley CA CALIFORNIA 92708 Director Board Member of Managing Member Ray Chicone 17360 Brookhurst St. Fountain Valley CA CALIFORNIA 92708 Director Board Member of Managing Member Weng Teng 17360 Brookhurst St. Fountain Valley CA CALIFORNIA 92708 Director Board Member of Managing Member Mary O'Toole 17360 Brookhurst St. Fountain Valley CA CALIFORNIA 92708 Director Board Member of Managing Member Chris Veneziano 17360 Brookhurst St. Fountain Valley CA CALIFORNIA 92708 Director Board Member of Managing Member William Wallace 17360 Brookhurst St. Fountain Valley CA CALIFORNIA 92708 Director Board Member of Managing Member Arash Aminian 17360 Brookhurst St. Fountain Valley CA CALIFORNIA 92708 Director Board Member of Managing Member Faris Gosheh 17360 Brookhurst St. Fountain Valley CA CALIFORNIA 92708 Director Board Member of Managing Member Other Health Care Decline to Disclose 06b false 2019-07-16 false true false 0 N/A None SCA Development, LLC 35451 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 CA CALIFORNIA false 368148 83424 284724 false 1 0 0 368148 Payment to the Managing Member false MemorialCare Surgical Center at Saddleback, LLC /s/ Cade Morgan Cade Morgan Attorney for Issuer 2019-07-22