0001395142-21-000001.txt : 20210721
0001395142-21-000001.hdr.sgml : 20210721
20210721171730
ACCESSION NUMBER: 0001395142-21-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20210721
DATE AS OF CHANGE: 20210721
EFFECTIVENESS DATE: 20210721
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: SOMERSET OUTPATIENT SURGERY, L.L.C.
CENTRAL INDEX KEY: 0001395142
IRS NUMBER: 208433398
STATE OF INCORPORATION: NJ
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-407210
FILM NUMBER: 211105271
BUSINESS ADDRESS:
STREET 1: 100 FRANKLIN SQUARE DRIVE
CITY: SOMERSET
STATE: NJ
ZIP: 08873
BUSINESS PHONE: 781-871-3311
MAIL ADDRESS:
STREET 1: 100 FRANKLIN SQUARE DRIVE
CITY: SOMERSET
STATE: NJ
ZIP: 08873
FORMER COMPANY:
FORMER CONFORMED NAME: SOMERSET OUTPATIENT SURGERY LLC
DATE OF NAME CHANGE: 20070402
D
1
primary_doc.xml
X0708
D
LIVE
0001395142
SOMERSET OUTPATIENT SURGERY, L.L.C.
100 FRANKLIN SQUARE DRIVE
SOMERSET
NJ
NEW JERSEY
08873
781-871-3311
NEW JERSEY
SOMERSET OUTPATIENT SURGERY LLC
Limited Liability Company
true
Jack
Pocorobba
100 Franklin Square Drive
Somerset
NJ
NEW JERSEY
08873
Director
President
Toni
Ryan
100 Franklin Square Drive
Somerset
NJ
NEW JERSEY
08873
Executive Officer
Director
Manager
Michael
Harward
100 Franklin Square Drive
Somerset
NJ
NEW JERSEY
08873
Director
Edward
Krisloff
100 Franklin Square Drive
Somerset
NJ
NEW JERSEY
08873
Executive Officer
Director
Vice President
Marco
Ucciferri
100 Franklin Square Drive
Somerset
NJ
NEW JERSEY
08873
Director
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
NJ
NEW JERSEY
false
190756
0
190756
false
0
0
0
0
false
SOMERSET OUTPATIENT SURGERY, L.L.C.
Victoria Young
Victoria Young
Attorney for Issuer
2021-07-21