0001350464-13-000003.txt : 20131205 0001350464-13-000003.hdr.sgml : 20131205 20131205165353 ACCESSION NUMBER: 0001350464-13-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20131205 DATE AS OF CHANGE: 20131205 EFFECTIVENESS DATE: 20131205 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PROVIDENCE SURGERY CENTERS LLC CENTRAL INDEX KEY: 0001350464 IRS NUMBER: 203567411 STATE OF INCORPORATION: AK FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-207502 FILM NUMBER: 131260335 BUSINESS ADDRESS: STREET 1: 3831 PIPER STREET STREET 2: SUITE S-110 CITY: ANCHORAGE STATE: AK ZIP: 99508 BUSINESS PHONE: 907-339-7800 MAIL ADDRESS: STREET 1: 3831 PIPER STREET STREET 2: SUITE S-110 CITY: ANCHORAGE STATE: AK ZIP: 99508 D 1 primary_doc.xml X0707 D LIVE 0001350464 PROVIDENCE SURGERY CENTERS LLC 3831 PIPER STREET SUITE S-110 ANCHORAGE AK ALASKA 99508 907-339-7800 ALASKA None None Limited Liability Company true Thomas P. Vasileff 3831 Piper Street Suite S-110 Anchorage AK ALASKA 99508 Director John T. Duddy 3831 Piper Street Suite S-110 Anchorage AK ALASKA 99508 Director Gregory Schumacher 3831 Piper Street Suite S-110 Anchorage AK ALASKA 99508 Director Laura McDonough 3831 Piper Street Suite S-110 Anchorage AK ALASKA 99508 Director Susan Humphrey-Barnett 3831 Piper Street Suite S-110 Anchorage AK ALASKA 99508 Director Andre Neptune 3831 Piper Street Suite S-110 Anchorage AK ALASKA 99508 Director Other Health Care Decline to Disclose 06b false 2013-10-03 false true false 314770 472155 472155 0 false 17 0 0 0 false PROVIDENCE SURGERY CENTERS LLC Thomas Vasileff Thomas Vasileff Chair - Managing Member 2013-12-05