0001210104-23-000001.txt : 20230609 0001210104-23-000001.hdr.sgml : 20230609 20230609170238 ACCESSION NUMBER: 0001210104-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230609 DATE AS OF CHANGE: 20230609 EFFECTIVENESS DATE: 20230609 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SURGICARE OF LA VETA LTD CENTRAL INDEX KEY: 0001210104 IRS NUMBER: 752507129 STATE OF INCORPORATION: CA FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-483900 FILM NUMBER: 231006186 BUSINESS ADDRESS: STREET 1: 681 SOUTH PARKER STREET, #150 CITY: ORANGE STATE: CA ZIP: 92868 BUSINESS PHONE: 2055452734 MAIL ADDRESS: STREET 1: 3000 RIVERCHASE GALLERIA STREET 2: SUITE 500 CITY: BIRMINGHAM STATE: AL ZIP: 35244 D 1 primary_doc.xml X0708 D LIVE 0001210104 SURGICARE OF LA VETA LTD 681 SOUTH PARKER STREET SUITE 150 ORANGE CA CALIFORNIA 92868 714-744-0900 CALIFORNIA None None Limited Partnership true N/A Beach Surgical Holdings III, LLC 17360 Broadhurst Street Fountain Valley CA CALIFORNIA 92708 Promoter General Partner of Issuer Texas Gustavson 17360 Broadhurst Street Fountain Valley CA CALIFORNIA 92708 Director Board Member of Issuer's General Partner Andy Ard 17360 Broadhurst Street Fountain Valley CA CALIFORNIA 92708 Director Board Member of Issuer's General Partner Julie Roberts 17360 Broadhurst Street Fountain Valley CA CALIFORNIA 92708 Director Board Member of Issuer's General Partner Kevin Davidson 17360 Broadhurst Street Fountain Valley CA CALIFORNIA 92708 Director Board Member of Issuer's General Partner Mark Schafer, M.D. 17360 Broadhurst Street Fountain Valley CA CALIFORNIA 92708 Director Board Member of Issuer's General Partner Other Health Care Decline to Disclose 06b false true false true false 0 N/A None SCA Development, LLC 35451 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 CA CALIFORNIA false 844800 0 844800 false 0 0 0 0 false SURGICARE OF LA VETA LTD /s/ Meagan O. Jones Meagan O. Jones Attorney for Issuer 2023-06-09