0001606556-15-000001.txt : 20150515 0001606556-15-000001.hdr.sgml : 20150515 20150515113454 ACCESSION NUMBER: 0001606556-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150515 DATE AS OF CHANGE: 20150515 EFFECTIVENESS DATE: 20150515 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: 021-239994 FILM NUMBER: 15866715 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, M.D. 6719 Alvarado Rd San Diego CA CALIFORNIA 92120 Director Manager James Bates, M.D. 6719 Alvarado Rd San Diego CA CALIFORNIA 92120 Director Manager Scott Hacker, M.D. 6719 Alvarado Rd San Diego CA CALIFORNIA 92120 Director Manager Brian Weeks, M.D. 6719 Alvarado Rd San Diego CA CALIFORNIA 92120 Director Manager Donald Triolo, DPM 6719 Alvarado Rd San Diego CA CALIFORNIA 92120 Director Manager Robin Gomez 6719 Alvarado Rd San Diego CA CALIFORNIA 92120 Director Manager Brian Kleven 6719 Alvarado Rd San Diego CA CALIFORNIA 92120 Director Manager Other Health Care Decline to Disclose 06b false 2015-04-30 false true false 0 60000 24000 36000 false 2 0 0 0 false Reservoir Physicians Surgery Center, LLC /s/ James Bates, M.D. James Bates, M.D. Manager 2015-05-14