0001564308-19-000003.txt : 20191021 0001564308-19-000003.hdr.sgml : 20191021 20191021121034 ACCESSION NUMBER: 0001564308-19-000003 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20191021 DATE AS OF CHANGE: 20191021 EFFECTIVENESS DATE: 20191021 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-344813 FILM NUMBER: 191159160 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/A 1 primary_doc.xml X0708 D/A 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 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 true 0001564308-19-000002 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 581690 240022 341668 false 6 0 0 581690 Payment to the Managing Member false MemorialCare Surgical Center at Saddleback, LLC /s/ Jackie Prester Jackie Prester Attorney for Issuer 2019-10-21