0001617125-14-000001.txt : 20140819
0001617125-14-000001.hdr.sgml : 20140819
20140819121957
ACCESSION NUMBER: 0001617125-14-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20140819
DATE AS OF CHANGE: 20140819
EFFECTIVENESS DATE: 20140819
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: MemorialCare Surgical Center at Orange Coast, LLC
CENTRAL INDEX KEY: 0001617125
IRS NUMBER: 261394069
STATE OF INCORPORATION: CA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-223232
FILM NUMBER: 141051282
BUSINESS ADDRESS:
STREET 1: 18111 BROOKHURST ST., SUITE 3200
CITY: FOUNTAIN VALLEY
STATE: CA
ZIP: 92708
BUSINESS PHONE: (714) 369-1106
MAIL ADDRESS:
STREET 1: 18111 BROOKHURST ST., SUITE 3200
CITY: FOUNTAIN VALLEY
STATE: CA
ZIP: 92708
D
1
primary_doc.xml
X0707
D
LIVE
0001617125
MemorialCare Surgical Center at Orange Coast, LLC
18111 Brookhurst St., Suite 3200
Fountain Valley
CA
CALIFORNIA
92708
(714) 369-1106
CALIFORNIA
None
None
Limited Liability Company
true
Mark
Schaefer, M.D.
18111 Brookhurst St., Suite 32000
Fountain Valley
CA
CALIFORNIA
92708
Director
Ashkan
Farhadi, M.D.
18111 Brookhurst St., Suite 3200
Fountain Valley
CA
CALIFORNIA
92708
Director
Peter
LePort, M.D.
18111 Brookhurst St., Suite 3200
Fountain Valley
CA
CALIFORNIA
92708
Director
John
Kelly, M.D.
18111 Brookhurst St., Suite 3200
Fountain Valley
CA
CALIFORNIA
92708
Director
Marcia
Manker
18111 Brookhurst St., Suite 3200
Fountain Valley
CA
CALIFORNIA
92708
Director
Kelli
Ruiz
18111 Brookhurst St., Suite 3200
Fountain Valley
CA
CALIFORNIA
92708
Director
Other Health Care
Decline to Disclose
- 06b
false
true
false
true
false
0
NA
None
SCA Development, LLC
35451
3000 Riverchase Galleria
Birmingham
AL
ALABAMA
35244
CA
CALIFORNIA
false
2745097
0
2745097
false
0
0
0
0
false
MemorialCare Surgical Center at Orange Coast, LLC
/s/ Peter LePort, M.D.
Peter LePort, M.D.
Chairman of Board of Managers
2014-08-19