0001790809-20-000002.txt : 20201119 0001790809-20-000002.hdr.sgml : 20201119 20201119130915 ACCESSION NUMBER: 0001790809-20-000002 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20201119 DATE AS OF CHANGE: 20201119 EFFECTIVENESS DATE: 20201119 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Prime Surgical Center of Encino, LLC CENTRAL INDEX KEY: 0001790809 IRS NUMBER: 611748172 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-358261 FILM NUMBER: 201328063 BUSINESS ADDRESS: STREET 1: 5353 BALBOA BLVD, SUITE 300 CITY: ENCINO STATE: CA ZIP: 91316 BUSINESS PHONE: 8189379969 MAIL ADDRESS: STREET 1: 550 N BRAND BLVD, SUITE 900 CITY: GLENDALE STATE: CA ZIP: 91203 D/A 1 primary_doc.xml X0708 D/A LIVE 0001790809 Prime Surgical Center of Encino, LLC 5353 BALBOA BLVD, SUITE 300 ENCINO CA CALIFORNIA 91316 8189379969 CALIFORNIA None None Limited Liability Company true Raffi Tchamanian 550 N Brand Blvd, suite 900 Glendale CA CALIFORNIA 91203 Executive Officer David Seng 550 N Brand Blvd, suite 900 Glendale CA CALIFORNIA 91203 Executive Officer Caroline Singer 550 N Brand Blvd, suite 900 Glendale CA CALIFORNIA 91203 Executive Officer Alejandro Gonzalez 550 N Brand Blvd, suite 900 Glendale CA CALIFORNIA 91203 Executive Officer Other Health Care Decline to Disclose 06b true 0001790809-20-000001 2015-03-01 true true false 30000 5000000 558745 4441255 false 17 0 0 0 true Maintenance of the redemption fund false Prime Surgical Center of Encino, LLC Raffi Tchamanian Raffi Tchamanian Chief Financial Officer 2020-11-19