0001507138-14-000001.txt : 20140407 0001507138-14-000001.hdr.sgml : 20140407 20140404173433 ACCESSION NUMBER: 0001507138-14-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140407 DATE AS OF CHANGE: 20140404 EFFECTIVENESS DATE: 20140407 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Honolulu Spine Center, LLC CENTRAL INDEX KEY: 0001507138 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-214981 FILM NUMBER: 14746921 BUSINESS ADDRESS: STREET 1: 40 BURTON HILLS BOULEVARD STREET 2: SUITE 500 CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 615-234-5900 MAIL ADDRESS: STREET 1: 40 BURTON HILLS BOULEVARD STREET 2: SUITE 500 CITY: NASHVILLE STATE: TN ZIP: 37215 D 1 primary_doc.xml X0707 D LIVE 0001507138 Honolulu Spine Center, LLC 40 BURTON HILLS BOULEVARD SUITE 500 NASHVILLE TN TENNESSEE 37215 615-234-5900 DELAWARE 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 . NeoSpine Surgery, LLC 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Promoter Majority Member of Issuer . Pacific Spine Institute, LLC 1380 Lusitana Street Suite 407 Honolulu HI HAWAII 96813 Promoter Member of Issuer Randy Bissell 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Director Jon F. Graham 1380 Lusitana Street Suite 407 Honolulu HI HAWAII 96813 Director Clifford G. Adlerz 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Executive Officer CEO and President of Majority Member Jennifer B. Baldock 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Executive Officer Vice President and Secretary of Majority Member Kenneth C. Mitchell 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Executive Officer Vice President of Majority Member Teresa F. Sparks 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Executive Officer Chief Financial Officer and Vice President of Majority Member Anthony Taparo 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Executive Officer Vice President of Majority Member George Goodwin 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Executive Officer Vice President of Majority Member John Crysel 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Executive Officer Vice President of Majority Member Miles Kennedy 40 Burton Hills Blvd. Suite 500 Nashvile TN TENNESSEE 37215 Executive Officer Assistant Secretary of Majority Member Ronald L. Brank 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Executive Officer Assistant Secretary of Majority Member Darrel Naish 40 Burton Hills Blvd. Suite 500 Nashville TN TENNESSEE 37215 Executive Officer Assistant Secretary of Majority Member Hospitals and Physicians Decline to Disclose 06b false true false true false 4250 87252 0 87252 false 0 0 0 87252 The gross proceeds from the sale of the 20.53 Units will be used to redeem from NeoSpine Surgery, LLC, the same number of Units as are sold in the offering at a price equal to the price at which such Units are purchased. false Honolulu Spine Center, LLC Jennifer B. Baldock Jennifer B. Baldock Vice President and Secretary 2014-04-04