0001493933-14-000003.txt : 20140205 0001493933-14-000003.hdr.sgml : 20140205 20140205143154 ACCESSION NUMBER: 0001493933-14-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140205 DATE AS OF CHANGE: 20140205 EFFECTIVENESS DATE: 20140205 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Surgery Center at Tanasbourne, LLC CENTRAL INDEX KEY: 0001493933 IRS NUMBER: 208187971 STATE OF INCORPORATION: OR FISCAL YEAR END: 1210 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-211346 FILM NUMBER: 14575704 BUSINESS ADDRESS: STREET 1: PROVIDENCE OFFICE PARK, 1235 NE 47TH AVE STREET 2: SUITE 288 CITY: PORTLAND STATE: OR ZIP: 97213 BUSINESS PHONE: 503-216-9500 MAIL ADDRESS: STREET 1: PROVIDENCE OFFICE PARK, 1235 NE 47TH AVE STREET 2: SUITE 288 CITY: PORTLAND STATE: OR ZIP: 97213 D 1 primary_doc.xml X0707 D LIVE 0001493933 Surgery Center at Tanasbourne, LLC 18650 NW Cornell Road - Suite 420 Hillsboro OR OREGON 97214 503-216-9500 OREGON None None Limited Liability Company true A. Brooke Benz 18650 NW Cornell Road - Suite 420 Hillsboro OR OREGON 97214 Director Jason Gilster 18650 NW Cornell Road - Suite 420 Hillsboro OR OREGON 97124 Director C. Edwin Irish 18650 NW Cornell Road - Suite 420 Hillsboro OR OREGON 97124 Director Christine Corbin 18650 NW Cornell Road - Suite 420 Hillsboro OR OREGON 97124 Director Jeff Leland 18650 NW Cornell Road - Suite 420 Hillsboro OR OREGON 97124 Director Miriam Odermann 18650 NW Cornell Road - Suite 420 Hillsboro OR OREGON 97124 Director Dana Montgomery 18650 NW Cornell Road - Suite 420 Hillsboro OR OREGON 97124 Director Tom Lorish 18650 NW Cornell Road - Suite 420 Hillsboro OR OREGON 97124 Director Sheldon Cober 18650 NW Cornell Road - Suite 420 Hillsboro OR OREGON 97124 Director Other Health Care Decline to Disclose 06b false 2013-10-30 false true false 0 854726 854726 0 false 12 0 0 0 false Surgery Center at Tanasbourne, LLC Miriam Odermann Miriam Odermann Manager 2014-02-04