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