0001114590-11-000003.txt : 20111012 0001114590-11-000003.hdr.sgml : 20111012 20111012154338 ACCESSION NUMBER: 0001114590-11-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 504(b)(1) (not (i), (ii) or (iii)) FILED AS OF DATE: 20111012 DATE AS OF CHANGE: 20111012 EFFECTIVENESS DATE: 20111012 FILER: COMPANY DATA: COMPANY CONFORMED NAME: QUAIL SURGICAL & PAIN MANAGEMENT CENTER LLC CENTRAL INDEX KEY: 0001114590 IRS NUMBER: 000000000 STATE OF INCORPORATION: NV FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-167117 FILM NUMBER: 111137548 BUSINESS ADDRESS: STREET 1: 6630 S MCCARREN BLVD STREET 2: BLDG A STE 4 CITY: RENO STATE: NV ZIP: 89509 BUSINESS PHONE: (775) 827-3904 MAIL ADDRESS: STREET 1: 6630 S MCCARREN BLVD STREET 2: BLDG A STE 4 CITY: RENO STATE: NV ZIP: 89509 D 1 primary_doc.xml X0704 D LIVE 0001114590 QUAIL SURGICAL & PAIN MANAGEMENT CENTER LLC 6630 S MCCARREN BLVD BLDG A STE 4 RENO NV NEVADA 89509 (775) 827-3904 NEVADA None None Limited Liability Company true Dallin DeMordaunt 6630-A S. McCarren Blvd. Suite 4 Reno NV NEVADA 89509 Executive Officer Director Brian Juell 6554 S. McCarran Blvd. Reno NV NEVADA 89509 Executive Officer Director Peter Kasprzak 1155 Mill Street Reno NV NEVADA 89509 Executive Officer Director Travis Kieckbusch 645 N. Arlington Reno NV NEVADA 89503 Executive Officer Director Joseph Kiener 530 Hammill Lane Reno NV NEVADA 89511 Executive Officer Director Other Health Care Decline to Disclose 04 false 2011-09-28 false true true units of membership interest in limited liability company false 17500 Not applicable None None None Not applicable Not applicable Not applicable XX Unknown 00000 NV NEVADA false 350000 35000 315000 false 1 0 0 0 false QUAIL SURGICAL & PAIN MANAGEMENT CENTER LLC /s/ Peter Kasprzak, M.D. Peter Kasprzak, M.D. President of Management Committee 2011-10-12