0001376474-21-000263.txt : 20210813 0001376474-21-000263.hdr.sgml : 20210813 20210813134720 ACCESSION NUMBER: 0001376474-21-000263 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 504(b)(1) (not (i), (ii) or (iii)) FILED AS OF DATE: 20210813 DATE AS OF CHANGE: 20210813 EFFECTIVENESS DATE: 20210813 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Indio Surgery Center, Inc. CENTRAL INDEX KEY: 0001877953 IRS NUMBER: 000000000 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-409960 FILM NUMBER: 211171283 BUSINESS ADDRESS: STREET 1: 46-900 MONROE ST., STE. B-201 CITY: INDIO STATE: CA ZIP: 92201 BUSINESS PHONE: (760) 396-5733 MAIL ADDRESS: STREET 1: 46-900 MONROE ST., STE. B-201 CITY: INDIO STATE: CA ZIP: 92201 D 1 primary_doc.xml X0708 D LIVE 0001877953 Indio Surgery Center, Inc. 46-900 MONROE ST., STE. B-201 INDIO CA CALIFORNIA 92201 (760) 396-5733 CALIFORNIA None None Corporation true Lawrence R. Church 46-900 Monroe St. Suite B-201 Indio CA CALIFORNIA 92201 Executive Officer Director Michelle A. Church 46-900 Monroe St. Suite B-201 Indio CA CALIFORNIA 92201 Executive Officer Director John A. Bonutto 46-900 Monroe St. Suite B-201 Indio CA CALIFORNIA 92201 Executive Officer Promoter Hospitals and Physicians $1,000,001 - $5,000,000 04 false 2021-08-11 false true false 25000 2100000 1275000 825000 true 5 11 0 0 2000000 true false Indio Surgery Center, Inc. /s/ John A. Bonutto John A. Bonutto Chief Financial Officer 2021-08-11