0001564308-22-000001.txt : 20220425 0001564308-22-000001.hdr.sgml : 20220425 20220425144003 ACCESSION NUMBER: 0001564308-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220425 DATE AS OF CHANGE: 20220425 EFFECTIVENESS DATE: 20220425 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: 021-443220 FILM NUMBER: 22849335 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 949-452-7109 CALIFORNIA None None Limited Liability Company true N/A Beach Surgical Holdings, LLC 17360 Broadhurst Street Fountain Valley CA CALIFORNIA 92708 Promoter Managing Member Andy Ard 17360 Broadhurst Street Fountain Valley CA CALIFORNIA 92708 Director Board Member of Managing Member Marcia Manker 17360 Broadhurst Street Fountain Valley CA CALIFORNIA 92708 Director Board Member of Managing Member Mark Schafer, MD 17360 Broadhurst Street Fountain Valley CA CALIFORNIA 92708 Director Board Member of Managing Member Kevin Davidson 17360 Broadhurst Street Fountain Valley CA CALIFORNIA 92708 Director Board Member of Managing Member Other Health Care Decline to Disclose 06b false true false true false 0 N/A None SCA Development, LLC 35451 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 CA CALIFORNIA false 395552 0 395552 false 0 0 0 0 false MemorialCare Surgical Center at Saddleback, LLC /s/ Meagan O. Jones Meagan O. Jones Attorney for Issuer 2022-04-25