0001346066-14-000001.txt : 20140717 0001346066-14-000001.hdr.sgml : 20140717 20140716174905 ACCESSION NUMBER: 0001346066-14-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140717 DATE AS OF CHANGE: 20140716 EFFECTIVENESS DATE: 20140717 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Specialty Surgical Center of Irvine LLC CENTRAL INDEX KEY: 0001346066 IRS NUMBER: 000000000 STATE OF INCORPORATION: CA FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-221239 FILM NUMBER: 14978842 BUSINESS ADDRESS: STREET 1: 15825 LAGUNA CANYON RD STREET 2: SUITE 200 CITY: IRVINE STATE: CA ZIP: 92618 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 0001346066 Specialty Surgical Center of Irvine 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 Irvine, LLC 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Promoter Administrative Member and Class B Member of Issuer . Multi-Specialty Surgical Center of Irvine, L.P. 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Promoter Fang Yu, M.D. 15825 Laguna Canyon Road Suite 200 Irvine CA CALIFORNIA 92618 Director Class A Governing Board Member of Issuer Bradley Greenbaum, M.D. 15825 Laguna Canyon Road Suite 200 Irvine CA CALIFORNIA 92618 Director Class A Governing Board Member of Issuer Scott Graham, M.D. 15825 Laguna Canyon Road Suite 200 Irvine CA CALIFORNIA 92618 Director Class A Governing Board Member of Issuer William E. Schobert, M.D. 15825 Laguna Canyon Road Suite 200 Irvine CA CALIFORNIA 92618 Director Class A Governing Board Member of Issuer George Goodwin 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Executive Officer Director Class B Governing Board Member of Issuer and Vice President of Administrative Member G. Miles Kennedy 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Executive Officer Director Class B Governing Board Member of Issuer and Assistant Secretary of Administrative Member Andrea Jones 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Director Class B Governing Board Member of Issuer Clifford G. Adlerz 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Executive Officer Chief Executive Officer and President of Issuer Jennifer B. Baldock 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Executive Officer Vice President and Secretary of Issuer Teresa F. Sparks 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Executive Officer Chief Financial Officer and Vice President of Issuer Kenneth C. Mitchell 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Executive Officer Vice President of Issuer John Crysel 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Executive Officer Vice President of Issuer Anthony Taparo 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Executive Officer Vice President of Issuer Ronald L. Brank 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Executive Officer Assistant Secretary of Issuer Darrel Naish 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Executive Officer Assistant Secretary of Issuer Hospitals and Physicians Decline to Disclose 06b false true false true false 4663 John Riddle 2441613 Brown, Gibbs, Lang & Company Securities, Inc. 20540 One Magnificent Mile 980 North Michigan, Suite 1880 Chicago IL ILLINOIS 60611 CA CALIFORNIA false 237813 0 237813 false 0 25000 0 133082 true The gross proceeds from the sale of the first 28.54 Units will be used to redeem such Units from the Class B Member at the offering price. The gross proceeds from the sale of the next 22.46 Units will fund a cash distribution to the existing Members. false Specialty Surgical Center of Irvine LLC Jennifer B. Baldock Jennifer B. Baldock Vice President and Secretary 2014-07-16