0001767487-19-000003.txt : 20190301 0001767487-19-000003.hdr.sgml : 20190301 20190301123259 ACCESSION NUMBER: 0001767487-19-000003 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190301 DATE AS OF CHANGE: 20190301 EFFECTIVENESS DATE: 20190301 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Seashore Surgical Institute, L.L.C. CENTRAL INDEX KEY: 0001693749 IRS NUMBER: 000000000 STATE OF INCORPORATION: NJ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-332479 FILM NUMBER: 19647847 BUSINESS ADDRESS: STREET 1: 569 BROOKWOOD VILLAGE STREET 2: SUITE 901 CITY: BIRMINGHAM STATE: AL ZIP: 35209 BUSINESS PHONE: 205-545-2734 MAIL ADDRESS: STREET 1: 569 BROOKWOOD VILLAGE STREET 2: SUITE 901 CITY: BIRMINGHAM STATE: AL ZIP: 35209 D/A 1 primary_doc.xml X0708 D/A LIVE 0001693749 Seashore Surgical Institute, L.L.C. 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL ALABAMA 35209 205-545-2734 NEW JERSEY None None Limited Liability Company true Bill Basri 495 Jack Martin Blvd. Suite 1 Brick NJ NEW JERSEY 08724 Executive Officer Director Member of Board of Managers and secretary. Ralph Del Negro 495 Jack Martin Blvd. Suite 1 Brick NJ NEW JERSEY 08724 Executive Officer Director Member of Board of Managers and president Michael Pecoraro 495 Jack Martin Blvd. Suite 1 Brick NJ NEW JERSEY 08724 Director Member of Board of Managers Nancy Easley-Mack 495 Jack Martin Blvd. Suite 1 Brick NJ NEW JERSEY 08724 Director Member of Board of Managers Jennifer Romond 495 Jack Martin Blvd. Suite 1 Brick NJ NEW JERSEY 08724 Director Member of Board of Managers Howard Winter 495 Jack Martin Blvd. Suite 1 Brick NJ NEW JERSEY 08724 Director Member of Board of Managers Barry Graf 495 Jack Martin Blvd. Suite 1 Brick NJ NEW JERSEY 08724 Executive Officer Senior vice president Other Health Care Decline to Disclose 06b true 0001693749-19-000001 true false true false 0 N/A None SCA Development, LLC 35451 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 NJ NEW JERSEY false 177000 0 177000 false 0 0 0 0 false Seashore Surgical Institute, L.L.C. /s/ Cade Morgan Cade Morgan Attorney for Issuer 2019-03-01