0001564308-24-000001.txt : 20240130 0001564308-24-000001.hdr.sgml : 20240130 20240130123223 ACCESSION NUMBER: 0001564308-24-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20240130 DATE AS OF CHANGE: 20240130 EFFECTIVENESS DATE: 20240130 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MemorialCare Surgical Center at Saddleback, LLC CENTRAL INDEX KEY: 0001564308 ORGANIZATION NAME: IRS NUMBER: 203678259 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-503864 FILM NUMBER: 24576812 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 of Issuer Andy Ard 17360 Broadhurst Street Fountain Valley CA CALIFORNIA 92708 Director Board Member of Issuer's Managing Member Marcia Manker 17360 Broadhurst Street Fountain Valley CA CALIFORNIA 92708 Director Board Member of Issuer's Managing Member Mark Schafer, M.D. 17360 Broadhurst Street Fountain Valley CA CALIFORNIA 92708 Director Board Member of Issuer's Managing Member Texas Gustavson 17360 Broadhurst Street Fountain Valley CA CALIFORNIA 92708 Director Board Member of Issuer's Managing Member Hootan Daneshmand 24411 Health Center Drive Suite 104 Laguna Hills CA CALIFORNIA 92653 Director Member of Board of Managers of Issuer Chris Veneziano 24411 Health Center Drive Suite 104 Laguna Hills CA CALIFORNIA 92653 Director Member of Board of Managers of Issuer Faris Ghosheh 24411 Health Center Drive Suite 104 Laguna Hills CA CALIFORNIA 92653 Director Member of Board of Managers of Issuer Rachel Lopez 24411 Health Center Drive Suite 104 Laguna Hills CA CALIFORNIA 92653 Director Member of Board of Managers of Issuer Other Health Care Decline to Disclose 06b false 2024-01-22 false true false 0 N/A None SCA Development, LLC 35451 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 CA CALIFORNIA false 798000 70000 728000 false 1 0 0 0 false MemorialCare Surgical Center at Saddleback, LLC /s/ Meagan O. Jones Meagan O. Jones Attorney for Issuer 2024-01-30