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