0001517567-15-000002.txt : 20150604
0001517567-15-000002.hdr.sgml : 20150604
20150604154159
ACCESSION NUMBER: 0001517567-15-000002
CONFORMED SUBMISSION TYPE: D/A
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20150604
DATE AS OF CHANGE: 20150604
EFFECTIVENESS DATE: 20150604
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: 15912953
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
0001517567-15-000001
2012-04-01
true
true
true
limited liability company membership interests
false
926
Not applicable
None
None
None
Not applicable
Not applicable
NH
NEW HAMPSHIRE
00000
NH
NEW HAMPSHIRE
false
665451
665451
0
false
31
0
0
0
false
Portsmouth Regional Ambulatory Surgery Center, LLC
/s/ John M. Franck II
John M. Franck II
Vice President of Manager
2015-06-04