0001606556-14-000001.txt : 20140429
0001606556-14-000001.hdr.sgml : 20140429
20140429160841
ACCESSION NUMBER: 0001606556-14-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20140429
DATE AS OF CHANGE: 20140429
EFFECTIVENESS DATE: 20140429
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Reservoir Physicians Surgery Center, LLC
CENTRAL INDEX KEY: 0001606556
IRS NUMBER: 262858065
STATE OF INCORPORATION: CA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-216482
FILM NUMBER: 14793936
BUSINESS ADDRESS:
STREET 1: 6719 ALVARADO ROAD
CITY: SAN DIEGO
STATE: CA
ZIP: 92120
BUSINESS PHONE: 619-287-3270
MAIL ADDRESS:
STREET 1: 6719 ALVARADO ROAD
CITY: SAN DIEGO
STATE: CA
ZIP: 92120
D
1
primary_doc.xml
X0707
D
LIVE
0001606556
Reservoir Physicians Surgery Center, LLC
6719 ALVARADO ROAD
SAN DIEGO
CA
CALIFORNIA
92120
619-287-3270
CALIFORNIA
None
None
Limited Liability Company
true
Martin
Bastuba
6719 Alvarado Road
San Diego
CA
CALIFORNIA
92120
Director
James
Bates
6719 Alvarado Road
San Diego
CA
CALIFORNIA
92120
Director
Ramin
Raiszadeh
6719 Alvarado Road
San Diego
CA
CALIFORNIA
92120
Director
Brian
Weeks
6719 Alvarado Road
San Diego
CA
CALIFORNIA
92120
Director
Donald
Triolo
6719 Alvarado Road
San Diego
CA
CALIFORNIA
92120
Director
Robin
Gomez
6719 Alvarado Road
San Diego
CA
CALIFORNIA
92120
Director
Brian
Kleven
6719 Alvarado Road
San Diego
CA
CALIFORNIA
92120
Director
Other Health Care
Decline to Disclose
- 06b
false
2014-01-15
false
true
false
6000
1176000
1176000
0
false
0
0
0
0
false
Reservoir Physicians Surgery Center, LLC
James Bates
James Bates
Manager
2014-04-29