0001564308-21-000001.txt : 20210217
0001564308-21-000001.hdr.sgml : 20210217
20210217171800
ACCESSION NUMBER: 0001564308-21-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: Rule 504(b)(1) (not (i), (ii) or (iii))
FILED AS OF DATE: 20210217
DATE AS OF CHANGE: 20210217
EFFECTIVENESS DATE: 20210217
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: 021-389746
FILM NUMBER: 21646188
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
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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
24411 HEALTH CENTER DRIVE
SUITE 104
LAGUNA HILLS
CA
CALIFORNIA
92653
Executive Officer
Director
Managing Member
Texas
Gustavson
24411 HEALTH CENTER DRIVE
SUITE 104
LAGUNA HILLS
CA
CALIFORNIA
92653
Director
Board Member of Managing Member
Kevin
Davidson
24411 HEALTH CENTER DRIVE
SUITE 104
LAGUNA HILLS
CA
CALIFORNIA
92653
Director
Board Member of Managing Member
Mark
Schafer
24411 HEALTH CENTER DRIVE
SUITE 104
LAGUNA HILLS
CA
CALIFORNIA
92653
Director
Board Member of Managing Member
Marcia
Manker
24411 HEALTH CENTER DRIVE
SUITE 104
LAGUNA HILLS
CA
CALIFORNIA
92653
Director
Board Member of Managing Member
Andy
Ard
24411 HEALTH CENTER DRIVE
SUITE 104
LAGUNA HILLS
CA
CALIFORNIA
92653
Director
Board Member of Managing Member
Other Health Care
Decline to Disclose
- 04
false
2021-02-16
false
true
false
0
N/A
None
SCA Development, LLC
35451
569 Brookwood Village
Suite 901
Birmingham
AL
ALABAMA
35209
CA
CALIFORNIA
false
774400
70400
704000
false
1
0
0
774400
All proceeds will be used to redeem equity owned by our Managing Member.
false
MemorialCare Surgical Center at Saddleback, LLC
/s/ Nathan Simpson
Nathan Simpson
Attorney for Issuer
2021-02-17