0001517567-14-000002.txt : 20140711 0001517567-14-000002.hdr.sgml : 20140711 20140710184133 ACCESSION NUMBER: 0001517567-14-000002 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140711 DATE AS OF CHANGE: 20140710 EFFECTIVENESS DATE: 20140711 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Portsmouth Regional Ambulatory Surgery Center, LLC CENTRAL INDEX KEY: 0001517567 IRS NUMBER: 621823382 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-176641 FILM NUMBER: 14970457 BUSINESS ADDRESS: STREET 1: 333 BORTHWICK AVENUE, SUITE 200 CITY: PORTSMOUTH STATE: NH ZIP: 03801-7128 BUSINESS PHONE: (603) 433-0941 MAIL ADDRESS: STREET 1: 333 BORTHWICK AVENUE, SUITE 200 CITY: PORTSMOUTH STATE: NH ZIP: 03801-7128 D/A 1 primary_doc.xml X0707 D/A LIVE 0001517567 Portsmouth Regional Ambulatory Surgery Center, LLC 333 BORTHWICK AVENUE, SUITE 200 PORTSMOUTH NH NEW HAMPSHIRE 03801-7128 (603) 433-0941 DELAWARE None None Limited Liability Company true Kevin Chilvers 3000 Pete Shaw Road Marietta GA GEORGIA 30066 Director Ryan Duffy 7300 Beaufont Springs Drive Building VIII Richmond VA VIRGINIA 23225 Director Robert Eberhart 333 Borthwick Avenue Suite 200 Portsmouth NH NEW HAMPSHIRE 03801 Director Cynthia Fortune 333 Borthwick Avenue Suite 200 Portsmouth NH NEW HAMPSHIRE 03801 Director Mayo Noerdlinger 333 Borthwick Avenue Suite 200 Portsmouth NH NEW HAMPSHIRE 03801 Director William Norris 800 N. Magnolia Avenue Suite 200 Orlando FL FLORIDA 32803 Director Steven Taylor 333 Borthwick Avenue Suite 200 Portsmouth NH NEW HAMPSHIRE 03801 Director Other Health Care Decline to Disclose 06b true 0001517567-14-000001 2012-04-01 true true true limited liability company membership interests false 1058 Not applicable None None None Not applicable Not applicable NH NEW HAMPSHIRE 00000 NH NEW HAMPSHIRE false 508478 508478 0 false 26 0 0 0 false Portsmouth Regional Ambulatory Surgery Center, LLC /s/ John M. Franck II John M. Franck II Vice President of Manager 2014-07-10