0001345645-14-000001.txt : 20141210 0001345645-14-000001.hdr.sgml : 20141210 20141210143837 ACCESSION NUMBER: 0001345645-14-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20141210 DATE AS OF CHANGE: 20141210 EFFECTIVENESS DATE: 20141210 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Specialty Surgical Center of Encino LLC CENTRAL INDEX KEY: 0001345645 IRS NUMBER: 000000000 STATE OF INCORPORATION: CA FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-229835 FILM NUMBER: 141277735 BUSINESS ADDRESS: STREET 1: 40 BURTON HILLS BLVD STREET 2: SUITE 500 CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 6152345900 MAIL ADDRESS: STREET 1: 40 BURTON HILLS BLVD STREET 2: SUITE 500 CITY: NASHVILLE STATE: TN ZIP: 37215 D 1 primary_doc.xml X0707 D LIVE 0001345645 Specialty Surgical Center of Encino LLC 40 BURTON HILLS BLVD SUITE 500 NASHVILLE TN TENNESSEE 37215 6152345900 CALIFORNIA None None Limited Liability Company true . Symbion Holdings Corporation 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Promoter . Symbion, Inc. 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Promoter . Symbion Ambulatory Resource Centres, Inc. 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Promoter . SymbionARC Management Services, Inc. 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Promoter . SMBISS Encino, LLC 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Promoter Administrative Member and Class B Member of Issuer . Specialty Surgical Center of Encino, L.P. 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Promoter Jeffrey W. Birns, M.D. 16501 Ventura Blvd. Suite 103 Encino CA CALIFORNIA 91436 Director Class A Governing Board Member Marc A. Kerner, M.D. 16501 Ventura Blvd. Suite 103 Encino CA CALIFORNIA 91436 Director Class A Governing Board Member Jeffrey P. Lake, M.D. 16501 Ventura Blvd. Suite 103 Encino CA CALIFORNIA 91436 Director Class A Governing Board Member Sohail Shayfer, M.D. 16501 Ventura Blvd. Suite 103 Encino CA CALIFORNIA 91436 Director Class A Governing Board Member George Goodwin 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Director Class B Governing Board Member Randy Bissel 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Director Class B Governing Board Member Miles Kennedy 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Director Class B Governing Board Member Michael T. Doyle 500 E. Kennedy Blvd. Suite 101 Tampa FL FLORIDA 33602 Executive Officer Chief Executive Officer of Administrative Member Christopher Laitala 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Executive Officer President of Administrative Member Jennifer B. Baldock 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Executive Officer Senior Vice President and Secretary of Administrative Member Teresa F. Sparks 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Executive Officer Executive Vice President and Chief Financial Officer of Administrative Member Dennis Dean 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Executive Officer Senior Vice President and Corporate Controller of Administrative Member Hospitals and Physicians Decline to Disclose 06b false 2014-12-04 false true false 592200 592200 592200 0 false 1 0 0 592200 The gross proceeds from the sale of the Units will be used to redeem from the Class B Member the same number of Units as are sold, at a price equal to the price at which such Units are purchased. false Specialty Surgical Center of Encino LLC Jennifer B. Baldock Jennifer B. Baldock Senior Vice President and Secretary of Administrative Member 2014-12-10