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